How many Recovery Audit Contractors does Medicare currently operate with?

Medicare operates with four Recovery Audit Contractors (RACs). These contractors play a crucial role in identifying and correcting improper payments made to healthcare providers. The RAC program was established to prevent fraud, waste, and abuse in the Medicare program by reviewing claims and ensuring that providers are following the appropriate billing guidelines.

Each of the four RACs is responsible for specific geographic areas and Medicaid services. They conduct audits, which involve analyzing claims submitted to Medicare to ensure compliance with regulations and to identify any overpayments or underpayments. The effectiveness of these contractors is measured by their ability to recover improper payments and improve Medicare's financial integrity.

Understanding the structure of the RAC program is important for healthcare providers and auditors when considering compliance and billing practices within the healthcare system. Knowledge about the number of RACs is crucial for anyone involved in medical auditing and compliance as it informs them about the oversight entities operating in their area.