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Expansion of the RAC Program

The Patient Protection and Affordable Care Act passed signed into law by President Obama impacts providers in several ways. One of the areas of impact to providers is the expansion of the Recovery Audit Contractor (RAC) Program.

The Act expands the RAC Program to Medicaid by requiring that each state contract with at least one RAC to identify underpayments and overpayments. These contracts must be in place no later than December 31, 2010. The Act also expands the RAC Program to Medicare Parts C and D by the end of this year.

The Reconciliation Act of 2010 may cause some changes to the Act, however, if it is passed in its current form the RAC Program will still be expanded to Medicaid and Medicare Parts C and D.

The expansion of the RAC Program through the Patient Protection and Affordable Care Act exhibits the continuing trend of audits of health care providers.

If you need assistance with a RAC or third party payor audit or for more information, please visit or contact a Wachler & Associates attorney at 248-544-0888.

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