RAC, MAC & UPIC Audits Demystified: How to Prepare, Respond, and Protect Your Practice

If your practice has ever received an audit letter—or you're worried you might—this session is for you! In today's increasingly complex audit landscape, medical practices and healthcare providers are at higher risk of payer scrutiny than ever before. Recovery Audit Contractors (RACs), Medicare Administrative Contractors (MACs), and Unified Program Integrity Contractors (UPICs) aren’t just acronyms, but real program integrity audit contractor programs that can seriously impact your revenue and reputation if you’re not prepared!

This webinar, led by industry expert Toni Elhoms, will guide you through the specifics of these audits, explain why they occur, and provide guidance on navigating the audit process without undue stress. With real-world examples and a strategic roadmap, this session will help providers and compliance professionals shift from reactive to proactive when managing audits and mitigating potential risks.

Whether you’ve already received an audit letter or want to strengthen your readiness, this session will equip you with critical insights to defend your documentation, protect your revenue, and maintain compliance integrity!

Webinar Objectives

This dynamic webinar session is designed to help healthcare providers, practice administrators, and compliance professionals understand and navigate RAC, MAC, and UPIC audits with greater confidence and clarity.  

Participants will gain practical knowledge of how these audits work, why practices are targeted, and what steps can be taken to prevent, prepare for, and respond to audit activity.  

The session aims to demystify the audit process and equip attendees with real-world strategies to strengthen documentation, reduce risk, and maintain compliance under scrutiny.

Webinar Agenda

• Understand what RAC, MAC, and UPIC audits are and what sets them apart
• Recall the top compliance red flags that lead to RAC, MAC, and UPIC audits
• Recognize ways to strengthen your documentation and billing practices to reduce compliance risk
• Evaluate response strategies when you get an audit notice
• Understand how to build an effective compliance program that keeps you audit ready

Webinar Highlights

• Unpack what RAC, MAC, and UPIC auditors are really looking for
• Discuss common services and billing practices that trigger RAC, MAC, and UPIC audits
• Identify must-haves for clinical documentation and internal oversight
• Discuss important audit details like timelines, communication tips, and what not to do
• Outline the audit appeals process and how to challenge unfavorable audit findings
• Discuss real-world audit cases and what was learned from these examples

Who Should Attend

• Medical Coding Specialists
• Medical Billing Specialists
• Medical Auditing Specialists
• Private Practice Physicians
• Managed Care Professionals
• Operations Leadership
• Practice Administrators
• Office Managers
• Compliance Officers/Committees  
• Chief Medical Officer
• Medical Practices, Accountable Care Organizations, Medical Societies, Medical Associations