Hospices Likely to See an ‘Uptick’ in RAC Audits

Posted Wednesday, July 26, 2023

Federal regulators continue to intensify their focus on hospices, operators may begin seeing an influx of Recovery Audit Contractor (RAC) activity.

CMS contracts with RACs to conduct post-payment reviews designed to recover any funds that may have been overspent.

RAC audits can re-examine hospice claims going back as long as three years — and more of them may be coming, according to Kelly Grahovac, general manager of The van Halem Group, who spoke at the National Association for Home Care & Hospice (NAHC) Financial Management Conference.

“The president’s budget was approved for $2.5 billion directly related to health care fraud abuse. So, the federal government knows that abuse happens,” Grahovac said. “They know that fraud is rampant, and they want to make sure that they protect that trust fund. They’re putting money in to fund these audit contractors and to review your claims, which also means we’re going to see an uptick in audits and likely an uptick in RAC audit volume.”

As with most regulatory interventions, complete and accurate documentation and error-free claims are a hospice’s best defense, Grahovac said.

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