The are the organizations that contract with Medicare to perform reviews of medical records with the corresponding Medicare claims to detect and correct improper payments.

Recovery Audit Contractor

Explanation:

This program was established in 2003 by the Medicare Modernization Acts. It is operational in few States in the United States such as New York and Florida.

This program helps in identifying and reviewing medical records and reconciliation of payments by healthcare providers under fee-for-service (FFS) Medicare plans.

It helps in analyzing and rectifying improper payments. This contractors are also available in other fields and industries asides healthcare.

This program has helped in the recovery of millions of dollars since its inception and plan is underway to make it compulsory for every State in the United States.

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