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Recovery Audit Contractor (RAC)

Centers for Medicare and Medicaid Services (CMS) established the Medicare Recovery Audit Contractor (RAC) program to identify improper Medicare fee-for-service payments. On this page you will find valuable resources relating to the RAC program, Updates/Advisories issued by MHA, and the latest RACTrac Activity.

RAC Resources

AHA RACTrac User Manual (pdf)

Maryland Audit Review Plan Presentation (pdf)

RAC Basics (pdf)

RAC Phase-In Map (pdf)

CMS RAC Questions and Answers (pdf)

CMS October 28 Outreach Presentation (pdf)

DCS October 28 Outreach Presentation (pdf)

October 28 Outreach Questions (pdf)

RAC Readiness Manual Now Available (pdf)

CMS Sample Demand Letter (pdf)

RAC Resources and FAQs (pdf)

RAC Updates/Advisories

May  8, 2012 - Advisory No. 19 (pdf)
American Hospital Association Education Sessions
RACTrac Survey Results

December 9, 2011 - Advisory No. 18 (pdf)
RACTrac Reporting is Important
RACTrac Survey Results
RACTrac Survey Deadline

October 14, 2011 - Advisory No. 17 (pdf)
RACTrac Reporting is Important
RACTrac Survey Deadline Extended
RAC Conference Call

July 1, 2011 - Advisory No. 16
(pdf)
MHA Encourages Hospitals to Report RAC Activity Using RACTrac
RACTrac to Hold Webinar on July 6, 2011

June 3, 2011 - Advisory No. 15 (pdf)
DCS to Begin Medical Necessity Audits on One-Day Stays

December 17, 2010 - Advisory No. 14
(pdf)
DCS and CMS Exempt Maryland Hospitals from RAC DRG Validation

September 10, 2010 - Advisory No. 13 (pdf)
CMS Approves Four Medical Necessity Audit Issues for Inpatient Hospital Services in Maryland

Update to the Evaluation of the 3-Year Demonstration (pdf)

June 18, 2010 - Advisory No. 12 (pdf)
Outpatient Hospital RAC Audits Approved in Maryland

RACTrac Activity

Q2 2010 RACTrac Results (ppt)

RACTrac Basics (pdf)

Visit the American Hospital Association's site for more details on how to participate in RACTrac reporting and to view detailed updates on RAC activity around the country.