Understanding Recovery Audit Contractors

The Centers for Medicare and Medicaid Services (CMS) initiated the Recovery Audit Contractors program or RAC to identify improper Medicare payments while combating fraud and abuse in the Medicare program. To do so, CMS uses contractors to audit claims, recover overpayments and look for underpayments to ensure these are also remedied. This course introduces you to the RAC program so you understand its purpose as well as the relationship between it and the revenue cycle.