CMS and RAC consultants make the following points on the difference between automated and complex reviews by recovery audit contractors. Automated reviews. This level of review uses system edits to ...

While the RAC rollout is in full swing and facilities begin to prepare for the program in their respective regions, it is important to understand how the RAC process works and equally important to ...

The RACs officially rescinded some reviews in the past few weeks, even after having completed complex reviews including the issuance of denial letters to the providers for the claims reviewed. This ...