I thought the Recovery Audit Contractors were on hold, so why did I receive a request from our RAC for a Medicare Advantage resident?
RAC battles move forward
By
Amy Novotney
Apr 06, 2015
The debate over whether Recovery Audit Contractor audits are an incentive-laced system of provider harassment or a necessary tool to redistribute misspent Medicare funds continues. Neither side appears...
Politicians pressure auditors to back down, paper claims
By
John Andrews
Feb 01, 2015
The prospects of politician intervention with Medicare audits has sparked some debate over whether elected officials are exerting undue influence, or simply defending providers’ rights against government...
Bill could gut scheduling
By
Kimberly Marselas
Sep 01, 2014
A Congressional proposal to provide low-wage hourly employees with more stability and workplace protections could hit nursing homes.
Extra audits clog and freeze Medicare appeals process
By
James M. Berklan
Mar 01, 2014
Providers who want to have an administrative law judge consider a Medicare claim appeal can save their breath and memos for now.
Referral fees OK, says OIG
By
James M. Berklan
Mar 01, 2014
A long-term care provider that requested clearance for a system of paying an agency to refer patients is in the clear.
PET scans for Alzheimer’s rejected for Medicare pay
By
James M. Berklan
Nov 01, 2013
Earlier this year, the Department of Health and Human Services released an action plan for tackling Alzheimer’s diagnostics, treatment and funding.
Cases subject to escrow
By
James M. Berklan
Oct 01, 2013
Federal regulators have expanded the use of escrow accounts so that as of this month, providers will be subject to their use for any kind of deficiency from a standard or complaint survey that draws a...
RACs recoil against bills
By
James M. Berklan
Jul 01, 2013
Independent Medicare auditors are criticizing two measures that would put stricter controls on Recovery Audit Contractors.
CMS wants burdens eased
By
James M. Berklan
Feb 01, 2013
Providers will have their say about the future of Medicare Administrative Contractors.