This article was written by PwC's partner, John Dugan, and published in May 2009 for Healthcare Financial Management Association (HFMA). The article is regarding the Medicare recovery audit contractor (RAC) program and discusses the potential risks and opportunities available to providers.
Early experience with RAC compliance has shown that preparing for a recovery audit represents not only a revenue risk but also an opportunity to improve the provider’s operational health and be part of a larger revenue cycle improvement strategy. John Dugan offers suggestions on what providers can do (i.e. establishing a management structure, train staff, evaluate risk, etc.) and concludes with CMS answers to FAQs on the RACs.
Of further interest
Download and read John Dugan's published article, On the RAC: Challenges for Healthcare Providers in the June 2009 issue of Compliance Today.