Part D Recovery Audit Contractor

Under the Patient Protection and Affordable Care Act (ACA) legislation enacted in March 2010, CMS is required to expand the Recovery Audit Contractor (RAC) program to the Medicare Part C (Medicare Advantage) and Part D (Prescription Drug Benefit) programs. The amendments to the existing Medicare Fee-for-Service (FFS) RAC statute at section 1893(h) of ACA provide CMS with general authority to enter into contracts with RACs to identify and reconcile overpayments and underpayments and recoup overpayments in Medicare Parts C and D.

CMS has contracted ACLR Strategic Business Solutions to perform the Part D RAC audit functions under careful guidance established by CMS.

Page Last Modified:
09/03/2014 02:44 PM