3 Things to Know About Medicaid RAC Contingency Fees

Medicaid Recovery Auditors, or RACs, have been making their way into the hospital space, and according to a Craneware presentation, Medicaid RACs are paid somewhat differently from Medicare RACs.

Here are three things to know about Medicaid RAC contingency fees.

•    Medicaid RAC contingency feeds are negotiated by each state with the contractor but may not exceed the maximum amount for Medicare RACs (which is 12.5 percent of an overpayment).
•    A state that prohibits contingency fee contracting could be exempt from paying on a contingency basis.
•    States may only pay Medicaid RACs contingency fees from overpayments collected.

More Articles on Medicaid RACs:

Medicaid RACs May Have Different Standards Than Medicare RACs
What are Medicaid RACs' Biggest Targets?
CMS Releases FAQs on Medicaid RACs

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