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ACO Overview

ACO Compliance
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Course Description Corporate Compliance and Safety Training
The course contains 13 Lessons taking about 1 Hour 5 Minutes

In section 306 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Congress directed the Department of Health and Human Services (DHHS) to conduct a 3-year demonstration program using Recovery Audit Contractors (RACs) to detect and correct improper payments in the Medicare FFS program. The Recovery Audit Contractor (RAC) demonstration program was designed to determine whether the use of RACs would be a cost-effective means of adding resources to ensure correct payments are being made to providers and suppliers and, therefore, protect the Medicare Trust Fund. The RAC Program has recouped billions in Medicare overpayments to providers.

  1 : RAC Background
  2 : Improper Payments
  3 : RAC Regions
  4 : The Demonstration Project Results
  5 : Payments Subject to Review
  6 : Types of Review
  7 : The Two Midnight Rule
  8 : Medicaid RACs
  9 : Appeals
10 : Appeals Changes
11 : Additional Documentation Request (ADR) Limits
12 : The Contractors
13 : The Future of Medicare