The RAC shall not attempt recoupment or forward any claim for adjustment if the amount of the overpayment is less than $10.00. Claims less than $10.00 cannot be aggregated to allow for demand.
The RAC shall not forward any claim for adjustment if the amount of the underpayment is less than $1.00.
Is there limitation on recovery of small overpayments found by the RAC?
Recovery Audit Contractors
RAC Scopes & Jurisdictions
Where can I learn what issues the RAC is reviewing?
Whose claims can be reviewed by the RAC?
Aren’t RAC’s focusing on hospital claims?
Do RAC’s review claims paid by Medicare Advantage Managed Care plans?
How far back can RAC’s look in reviewing claims?
Will RAC’s review claims for evaluation and management services?
RAC Review Criteria
How will RAC’s review claims for overpayments and underpayments?
RAC Recovery Requests
How can I identify a RAC recovery versus a request for refund from other sources?
If I disagree with an RAC’s overpayment findings, can I appeal?
Is there limitation on recovery of small overpayments found by the RAC?
Medical Record Review by the RAC
Must I allow the RAC to conduct an onsite review of my medical records?
Planning to Avoid RAC Issues
What should I do to protect my practice from RAC recovery efforts?
