Recovery Audit Contractor Program

The Recovery Audit Contractor (RAC) initiative is a Centers for Medicare and Medicaid Services (CMS) initiative that began in 2005 as a demonstration project in three states including California.

RAC Activities Increase – AHA Offers Online Tool

Health Data Insights (HDI), the Recovery Audit Contractor (RAC) for California, has been issuing Additional Documentation Request (ADR) letters to hospitals for diagnosis-related group validations over the last month. Letters have been sent to the contact name given to HDI, or to the hospital’s Chief Financial Officer or Compliance Officer if no name was provided.

California Hospitals Look Forward to Constructive Relationship with New Medicare Audit Contractor

Hospitals Gratified That Concerns About PRG-Schultz Taken Into Consideration

The California Hospital Association (CHA) welcomes today’s announcement by the Centers for Medicare and Medicaid Services (CMS) that a new contractor has been selected to work with California hospitals as part of the national roll-out of the Medicare Recovery Audit Contractor (RAC) program.