CodeMap® Compliance Briefing: 5/13/2011
After a very successful demonstration project, Congress directed CMS to implement the Recovery Audit Contractor (RAC) program on a national basis. To initiate the program, CMS appointed 4 regional RACs to identify, analyze, and rectify overpayments/underpayments made by federally funded health care programs. The national program began in October 2009, and many of our subscribers have received correspondence from these contractors. CMS recently published a summary of overpayments and underpayments identified by the RAC program. This report illustrates the importance of correct coding, compliance, and strict controls of claims submission processes when interacting with federal payers, such as Medicare.
Gregory Root, Esq.
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