RAC Audit Handouts

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Mission Possible: Surviving a Recovery Cost Audit (RAC) Part One Leah Klusch, RN, BSN, FACHCA Presentation Objectives • Identify the structure of the RAC Audit Process • Describe the Audit Process and facility preparation for audits • Review the Audit Appeals Process The Universal Program Number (UPN) for this presentation is 2009-21-1088 1.5 CE Leah Klusch discloses no actual or potential conflict of interest in relation to this program. " " "Medicare Recovery Audit Contractors ProgramLeah KluschMedicare Recovery Audit Contractors ProgramPresented byLeah KluschExecutive DirectorThe Alliance Training Center330-821-7616leahklusch@sbcglobal.netWhat is the RAC?RAC Program Missionq The RACs will detect and correct pastimproper payments so that CMS and the Carriers/FIs/MACs can implement actions that will prevent future improper payments.Providers can avoid submitting claims that don t comply with Medicare rulesCMS can lower its error rateTaxpayers and future Medicare beneficiaries are protected1 " " " " " " " " "Medicare Recovery Audit Contractors ProgramLeah KluschRAC Legislationq Medicare Modernization Act, Section 306:required 3-year RAC demonstrationq Tax Relief and Healthcare Act of 2006, Section 302:requires a permanent and nationwide RAC program by no later than 2010Both statutes gave CMS the authority to pay RACs on ...

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