Medicare RACs Expanding to Clinical Laboratories

At the end of this month, Medicare Recovery Audit Contractors will begin oversight of clinical laboratories and anatomic pathology groups as the RAC program expands to Medicare Part C and D, according to Robert Michel at Dark Daily Clinical Pathology News and Trends.

"The expanded RAC program gives independent auditors the power to conduct 'medical necessity' audits at your hospital, health system, clinical laboratory, or pathology group," Mr. Michel writes. "RAC auditors can analyze claims with payment dates going back to October 1, 2007."

On Oct 1, CMS is sending letters to participating state Medicaid directors informing them of the impending expansion of the RAC program to include all of Medicare and Medicaid by December 31, 2010.

Read the Dark Daily report on RACs.



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