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.