all the RAC’s charge the feds/states/Health plans between 10% to 25% of the dollars recovered e the quite the scam they got going
all the RAC’s charge the feds/states/Health plans between 10% to 25% of the dollars recovered e the quite the scam they got going”
And it is a racket since the RAC’s are not punished for bringing up cases where NO true abuse/fraud exists.
About 7 years ago I was audited in California and was sent the certified letter “ Dr we have questions about 42 patients”. Of course their judgement was “insufficient documentation” on all 42.
Contact my lawyer at $6-8k and am told it will now go to the same auditor for review. Be prepared he says , 100% of those cases are upheld. Wait a year and my 42 cases are now brought up before a retired judge for adjudication( nice legal word) , he takes 10 minutes to look at my notes and rules for me in all 42 cases. My lawyer says you (meaning me) should be pleased. I almost tear his head off. After 2 and 1/2 years and $8k in legal fees I have the privilege of being able to sleep at night once more. I forgot to mention if the judge would have found for the RAC the proportionate amount of like case ARE DEEMED LIKELY FRAUDULENT and they demand a check for $120k right now before you leave the court room..
Meanwhile the RAC auditor sits at his desk, scratches his scrotum and says “oh well I guess I will go on to the next Doc/Hospital