Section 306 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 directed the US Department of Health and Human Services to establish the Centers for Medicare and Medicaid Services' recovery audit contractors (RAC) demonstration program to determine whether the use of independent auditors is a cost-effective way to identify Medicare underpayments and overpayments and recover Medicare overpayments made under Part A or Part B of Title XVIII of the Social Security Act. But providers and legislators in states where the RAC program has been implemented have expressed concern regarding several aspects of the program, such as oversight of the RAC reviews, reporting of audit results, payment incentives for RACs, and more. Providers therefore should take the following steps to prepare for the impact of implementation in their states: 1. Provide education. 2. Create compliance assessment tools and programs and conduct internal assessment. 3. Develop and implement a corrective action plan based on findings from internal reviews.
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