Wednesday, October 5, 2022
HomeLatest NewsFederal NewsImprovements Announced for Medicare RAC Program

Improvements Announced for Medicare RAC Program

The Centers for Medicare & Medicaid Services (CMS) announced several improvements to the Medicare Recovery Audit Contractor (RAC) Program, seeking to reduce providers’ burden by better targeting program integrity efforts.

CMS announced several steps to improve oversight of RACs, including requiring them to maintain a 95 percent accuracy score and an overturn rate of less than 10 percent, and hold payment of contingency fees until after the second level of appeal is exhausted. In addition, CMS intends to reduce burden on providers by requiring RACs to audit proportionately to the types of claims a provider submits, directing RACs to conduct fewer audits for providers with low claims denial rates, and giving providers more time to submit additional documentation before repaying a claim.

Finally, CMS announced steps to improve program transparency by regularly seeking public comment on newly proposed RAC areas for review and requirements to enhance their provider portals to better explain claim status.

Additional information on the Medicare RAC Program can be found at on CMS’ website.

Stay Connected

Unified Voice Newsletter

Events This Month


05oct11:00 am12:00 pmNo Surprises Act: Are you Ready for 2023?SDAHO Webinar11:00 am - 12:00 pm Event Type :Education Events,Webinar

06oct9:00 am3:00 pmFocus on the Medication AideAvera Education & Staffing Solutions9:00 am - 3:00 pm

06oct11:00 am12:00 pmKey Strategies in Developing Policies and ProceduresSDAHO Webinar11:00 am - 12:00 pm Event Type :Education Events,Webinar

06oct12:00 pm1:00 pmLeverage Data to Hold Payers AccountableAHA Webinar12:00 pm - 1:00 pm Event Type :Education Events,Webinar

10oct9:30 am3:30 pmAHA/IFDHE Region 6 Health Equity Innovation SummitAHA Event9:30 am - 3:30 pm Event Type :Community Events,Education Events


By submitting this form, you are consenting to receive marketing emails from: SDAHO, 3708 W Brooks Place, Sioux Falls, SD, 57106, You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact