RAC

+ SHARE

RAC
Print
The Medicare Recovery Audit Contractor program is authorized by Congress to identify improper Medicare payments - both overpayments and underpayments. RACs are paid on a contingency fee basis, receiving a percentage of the improper payments they identify and collect. Following a three-year demonstration project, the law requires the Centers for Medicare and Medicaid Services to expand the program nationwide by 2010. The national expansion of the RACs is being introduced by region, with Kansas being slated sometime after August 2009.
Section 6411 of the Patient Protection and Affordable Care Act (PPACA) expanded the Recovery Audit Contractor (RAC) program to include Medicaid.  The RAC Program’s mission is to reduce improper payments to the Medicaid and Children’s Health Insurance Program (CHIP) through the efficient detection and collection of overpayments, the identification of underpayments, and the identification of actions that will assist in preventing future improper payments. The RAC contractor for the State of Kansas is HealthDataInsights.
It is important for hospital boards to understand what types of services patients in their region are seeking and where those patients are going for care. Please join KHA for a Noon Briefing on Friday, June 30, where Sally Othmer, senior director of data and quality, will explore how to use generated reports from the Analytic Advantage Plus website to support strategic market-share decisions by identifying trends in both inpatient and outpatient activity.
The Kansas Hospital Association is hosting a three-part management development webinar series that will take place over several months. This webinar series will provide new and more experienced managers with the nuts and bolts of management.
For more information regarding the KHA Leadership Institute, contact the KHA Education Department at cmadden@kha-net.org or (785) 233-7436.
For more information regarding this program, contact Tish Hollingsworth or Dee Lewis at (785) 233-7436.
The Kansas Hospital Association is hosting a three-part management development webinar series that will take place over several months. This webinar series will provide new and more experienced managers with the nuts and bolts of management.