A RAC (recovery audit contractor) audit is a CMS program designed to identify and recover improper Medicare payments made to healthcare providers, covering both overpayments and underpayments. RAC auditors review claims for coding errors, medical necessity issues, and documentation deficiencies. Healthcare organizations with inaccurate or incomplete coding face significant financial and compliance exposure from RAC activity. Nym’s autonomous medical coding engine generates comprehensive, audit-ready documentation for every coded encounter, including supporting clinical evidence and explicit reasoning for each code assigned, enabling providers to respond to RAC audits with confidence.
