Recovery Audit Contractor (RAC)
A Recovery Audit Contractor (RAC) is a CMS-contracted organization responsible for identifying and correcting improper Medicare payments, including overpayments and underpayments.
Definition
A Recovery Audit Contractor (RAC) is a CMS-contracted organization responsible for identifying and correcting improper Medicare payments, including overpayments and underpayments.
Why it matters
Recovery Audit Contractor (RAC) is part of the Coding vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.
What Should I Document? 100 OASIS Situations Home Health Nurses Face Every Day
100 real OASIS scenarios, worked end to end — clinical situation, common mistake, better approach, and key takeaway. Built around OASIS-E2 (effective April 1, 2026) to turn what you assess into accurate, defensible documentation.
Related terms
Listen While You Read
Conversations on coding
Episodes from Inside Home Health that put Recovery Audit Contractor (RAC) in operational context.
