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RAC audits: Another nail in the Medicaid coffin

by Paul S. Casamassimo, DDS, MS, FAAPD, FRCSEd - ODA President
ODA Today

RAC stands for Recovery Audit Contractor and is a little-known provision in the Affordable Care Act that requires states to perform audits of its Medicaid providers. The intent is to weed out fraud and inappropriate billing for services, even with no malicious or fraudulent intent, and return that money to the state and federal government. Auditing in Medicaid is nothing new, but RAC audits engage companies that are rewarded for their work by a percentage…

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