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Recovery Audit Contractor (RAC) Program


An important part of our Medicare and Medicaid compliance assistance is helping provider organizations deal with the complexities of the Recovery Audit Contractor (RAC) Program. Krieg DeVault lawyers understand the perspectives and objectives of the Centers for Medicare & Medicaid Services (CMS) and the incentives used with private contractors that audit health care providers in search of inappropriate Medicare payments. We prepare our clients for RAC audits, including through training programs for key hospital personnel, so that they spend less money responding to audit requests, are better positioned to challenge questionable determinations, and file timely appeals if necessary. The result is audit compliance procedures that are thorough yet minimally disruptive of everyday operations. We have also assisted numerous clients on responding to and defending claims subject to review and investigation through the RAC Program.