RAC program moves ahead after delay

For a while, CMS's Recovery Audit Contractor program was on  hold, held back by a stop-work order instituted over a dispute involving vendor contracts. Now, however, CMS has resolved the dispute and has made plans to move ahead with the national rollout of the program.

The RAC program, which was suspended last November, has already proved controversial, with a number of providers questioning the fairness of auditors' conclusions. PRG-Schultz, meanwhile, has come under additional scrutiny, in part because it's co-owned by U.S. Senator Dianne Feinstein (D-CA).

To settle the vendor challenges, two contractors that first filed a protest with CMS over the business arrangements will serve as subcontractors to two permanent RAC contractors. PRG-Schultz International will serve as a subcontractor to HealthDataInsights, and Viant Health Payment Solutions will subcontract to Connolly Consulting.

To learn more about the program:
- read this Modern Healthcare article (reg. req.)

Related Articles:
Lawmakers question California Medicare audits
RAC activities suspended because of protests

Suggested Articles

The profit margins and management of Community Health Group raise questions about oversight of managed care insurers.

Financial experts are warning practices about the pitfalls of promoting medical credit cards to their patients.

A proposed rule issued by HHS on Tuesday would expand short-term coverage, a move Seema Verma said will have "virtually no impact" on ACA premiums.