The Centers for Medicare & Medicaid Services (CMS) has launched the Recovery Audit Contractor (RAC) program to detect and correct improper payments in the Medicare FFS program. According to CMS, the RAC program was designed to determine whether the use of RACs will be a cost-effective means of adding resources to ensure correct payments are being made to providers and suppliers and, therefore, protect the Medicare Trust Fund.
A pilot of the program operated in New York, Massachusetts, Florida, South Carolina and California, and concluded in March 2008. According to CMS, by 2010 it plans to have 4 RACs in place. Each RAC will be responsible for identifying overpayment and underpayments in approximately one-quarter of the country. The new RAC jurisdictions match the DME MAC jurisdictions.
Log on to www.cms.hhs.gov/RAC/10_ExpansionStrategy.asp#TopOfPage and learn more about the RAC program. Sleep medicine specialists may be affected by this program, and the AASM will provide updates on the program’s implementation as it becomes available.