title: The forecast for RAC extrapolation: mostly cloudy.
abstract: The current statutory and regulatory guidance for recovery audit contractor (RAC) extrapolation leaves providers with minimal protection against the process and a limited ability to challenge overpayment demands. Providers not only should understand the statutory and regulatory basis for extrapolation forecast, but also should be able to assess their extrapolation risk and their recourse through regulatory safeguards against contractor error. Providers also should aggressively appeal all incorrect RAC denials to minimize the potential impact of extrapolation.
authors.affiliation: Akin Gump Strauss Hauer & Feld LLP, Washington, DC, USA. egoldman@akingump.com
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Goldman
authors.forename: Robert
authors.initials: R
authors.lastname: Jacobs
authors.forename: Ellen
authors.initials: E
authors.lastname: Scott
authors.forename: Bonnie
authors.initials: B
authors.lastname: Scott
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S.; D007345:Insurance Claim Review / Q000458:organization & administration*; D008485:Medical Audit / Q000191:economics*; D020416:Outsourced Services; D014481:United States