Alabama Medicaid: RAC 101 is an educational presentation designed to introduce healthcare providers to the fundamentals of the Alabama Medicaid Recovery Audit Contractor (RAC) program. Led by Alivia Analytics, the presentation explains the purpose of the RAC program, outlines how improper payment scenarios are developed and approved, and provides clarity on RAC review processes.
The content walks providers through the distinctions between Complex and Automated RAC reviews, including timelines, documentation requirements, and steps to follow when responding to audit letters. Clear guidance is provided on how to navigate disagreements with RAC findings through Informal Conferences and Fair Hearing Requests.