RACs Are Back, At Least Through 2015

The 4 private companies that run Medicare's recovery audit program will have their contracts extended through 2015. But it's unclear what types of medical reviews or claims are going to be eligible for auditing.

CGI Federal, Connolly, HealthDataInsights, and Performant Recovery will be able to actively audit hospitals, doctors and other providers for improper Medicare payments through December 31, 2015, CMS said in a contract award notice posted December 24. Additionally, the recovery audit contractors, or RACs, will be allowed to perform administrative and transitional activities through April 30, 2017. That year-and-a-half period allows them to review any last-minute claims and manage the appeals process.

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