Why are more RAC audits happening? There are trillions of reasons
By
John O'Connor
Sep 10, 2012
Recovery audit contractors are stepping up their efforts to review Medicare billings. This appears to be a classic case of auditors gone wild.
Regulators go overtime fielding comments and questions on nursing home star-rating system
Jun 25, 2008
While the focus of regulators’ “Open Door Forum” conference call Tuesday might have first appeared to be about getting ready for the December rollout of a new nursing home ranking system,...
Medicaid-only long-term care residents driving up state expenditures, report finds
By
Tim Mullaney
Feb 20, 2014
Among people eligible for Medicaid but not Medicare, long-term care residents are most likely to be among the costliest beneficiaries for a state, according to a new report from the Government Accountability...
Irene’s nursing home evacuations leave paperwork headaches behind
Aug 31, 2011
Hurricane Irene evacuations have some East Coast nursing home operators nervous that reimbursement payments will be late or inadequate.
Report: Triggered Medicare cuts would hit hospitals harder than nursing homes
Nov 23, 2011
Nursing homes will be impacted less than hospitals and physicians if the automatic cuts to Medicare providers are implemented, a new report finds. The 2% across-the-board Medicare cuts are scheduled as...
Medicare service providers cannot object to a Medicare Recovery Audit Contractor’s (RAC) decision to re-open a payment decision, a federal appeals court ruled Tuesday.
Medicare, Medicaid fight could take center stage after debt ceiling extension
By
McKnight's Staff
Jan 23, 2013
Medicare and Medicaid funds could face steep cuts in the House of Representatives’ 2014 budget. GOP congressional leaders have promised dramatic spending reductions to rally conservative support...
OIG should streamline Medicare’s self-disclosed overpayment protocol, provider group says
By
McKnight's Staff
Aug 23, 2012
Federal officials need to provide clearer guidance and offer a more streamlined protocol for providers willing to self-disclose Medicare overpayments, a leading long-term care group says.
How to make your nursing facility RAC-ready
By
Bryan Baird
Nov 08, 2011
As skilled nursing facilities adjust to the changes to Medicare that arrived early last month, they must be ready for Recovery Audit Contractors. RACs are independent auditors for the government that are...
CMS angling to ease providers’ burdens from Medicare Administrative Contractors
By
McKnight's Staff
Jan 10, 2013
The Centers for Medicare & Medicaid Services is asking providers to help figure out a way to make demands from Medicare Administrative Contractors less burdensome.