RAC Audit Survival Guide: Strategies to Prevent Audits and Minimize Their Impact

This is no routine claims audit! Aimed at sniffing out fraud, waste and abuse, the controversial RAC program has already identified hundreds of millions of dollars in improperly paid Medicare claims and continues rolling on, full-steam ahead. But with these contractors collecting upwards of 12% of the recovered amount, many hospital leaders say the RACs are overly aggressive "bounty hunters" who indiscriminately target legitimate claims – knowing that 70% of provider appeals will be rejected. This eBook will arm you with critical intelligence from the 2009 RAC audits so you can position your hospital to quickly and strategically respond to denied claims, successfully challenge RAC recoupments during an appeal and avoid RAC findings in the first place.