Business > CASE STUDY > Week 8 TD Purpose of Recovery Audit Contractor.docx Week 8 Purpose of Recovery Audit C (All)
Week 8 TD Purpose of Recovery Audit Contractor.docx Week 8 Purpose of Recovery Audit C
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Week 8 TD Purpose of Recovery Audit Contractor.docx Week 8 Purpose of Recovery Audit Contractor Explain the history and purpose of the Recovery Audit Contractor (RAC) demonstration project, as we... ll as the process of the RAC as it pertains to its impact on healthcare organizations. Recovery Audit Contractor Demonstration Project Recovery Audit Contractors (RAC) is the term used by the Centers for Medicare and Medicaid (CMS) program that is responsible for detecting and correcting improper Medicare payments (Harrington, 2020, p. 241). CMS (2019) explains that examples of improper payments include excluded providers, unauthorized prescribers, and improper refills on DEA scheduled drugs. The RAC demonstration project uses real auditors (Recovery Auditors) to go into the health care setting and look for overpayments and underpayments as well as help to identify future improper payments to lower the overall error rate for processing Medica. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [Show More]
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