RAC is an aggressive program that was created to find and prevent waste, fraud and abuse in Medicare and now, Medicaid

 

Targeted classes include, but are not limited to: 

• All healthcare providers that have a National Provider Identification Number (NPI) issued by the CMS

 

Audits conducted by third-party contractors — paid on contingency fee basis for over-payments they find.

 

Three-year test program in California, Florida, New York, Massachusetts, South Carolina and Arizona collected over $900 million.