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The full changes from the bill start rolling out this year and don’t officially finish until 2029 Some hospitals may not see impacts until closer to 2034 Between now and then, america will experience two presidential elections and several shakeups in congress, meaning medicaid policies will likely change again. In august of this year, the centers of medicare & medicaid services (cms) approved 20 new recovery audit contractor (rac) topics, officially expanding the range of issues subject to medical review

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