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    Recovery Audit Contractor

    CMS contractor that audits Medicare claims for improper payments.

    Reviewed by Christian Espinosa, Founder, Blue Goat CyberLast reviewed May 5, 2026

    Definition

    RACs review paid Medicare claims to identify and recover improper payments. RAC findings can drive billing changes and impact device coverage operationally.

    What this means in practice

    Devices with high RAC denial risk (e.g., certain cardiac, sleep, and DME categories) require strong documentation and appeals support.

    Primary references

    3 sources
    Link health: 2 verified 1 bot-blocked· last checked 2026-05-09
    CMS·1AMA·1AdvaMed·1
    1. 1
      CMS RAC
      Verified
      CMScms.gov
    2. 2
      AMA CPT Resources
      Bot-blocked
      AMAama-assn.org
    3. 3
      AdvaMed - Payment & Coverage
      Verified
      AdvaMedadvamed.org

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