RAC Review Management (Medicaid)

The Recovery Audit Program is a government review system designed to correct Medicare claims payments, stop Medicare abuse, and encourage accurate Medicare claims filing. To carry out the process, the government hires Recovery Audit Contractors (RACs) that analyze claims and determine whether a provider was paid too much or too little by Medicare for a patient service.

  • Explain what RAC reviews are and why they were created
  • Describe the process of a RAC review
  • Name the different levels of RAC appeals
  • List methods of preventing and handling RAC reviews

    • Additional Information

      Advance Preparation: None

      Prerequisites: None

      Program level: Basic

      Delivery Method: Self-study

      CPE Field of Study: Specialized Knowledge


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