HealthDataInsights is the national Medicare Recovery Audit Contractor (RAC) for Region D which consists of 17 States and 3 U.S. territories (Alaska, Arizona, California, Hawaii, Iowa, Idaho, Kansas, Missouri, Montana, North Dakota, Nebraska, Nevada, Oregon, South Dakota, Utah, Washington, Wyoming, Guam, American Samoa and Northern Marianas).
The permanent RAC program is the next step by Centers for Medicare & Medicaid Services (CMS) in their comprehensive effort to identify improper Medicare payments and fight fraud, waste and abuse in the Medicare Trust Fund.
In the Tax Relief and Health Care Act of 2006, Congress required a permanent and national RAC program to be in place by January 1, 2010. The national RAC program is the outgrowth of a successful demonstration program to identify Medicare overpayments and underpayments to health care providers and suppliers in California, Florida, New York, Massachusetts, South Carolina and Arizona.
During the demonstration program HDI corrected over $416 million in improper payments: this represented 41% of the total findings working with only 31% of the total claims data.
To launch the RAC website click here