RACs returned a record $100 million to providers in the third quarter, CMS announces
By
Tim Mullaney
Jul 14, 2014
Medicare Recovery Audit Contractors returned $100.4 million in underpayments to healthcare providers in the third quarter of fiscal year 2014, the Centers for Medicare & Medicaid Services has announced.
CMS announces Medicare appeals without administrative law judge hearings
By
Tim Mullaney
Jul 07, 2014
Long-term care providers will be able to appeal certain Medicare claims decisions without going through an administrative law judge hearing, the Office of Medicare Hearings and Appeals (OMHA) announced...
Ask the payment expert … about continuing RAC requests
By
Patricia Boyer
Jul 01, 2014
I thought the Recovery Audit Contractors (RACs) were on hold. Why did we still get a request for records?
RACs were ‘most improved’ healthcare auditors for getting back money in 2013, government...
By
Tim Mullaney
Apr 18, 2014
Medicare Recovery Audit Contractors dramatically stepped up their overpayment recoveries last year, returning nearly $487 million more to the government than they did in 2012, according to a new report...
RACs recovered $8,000 from skilled nursing facilities, $2.3 billion overall in 2012, report shows
By
Tim Mullaney
Mar 27, 2014
Medicare recovery audit contractors collected about $8,000 in fiscal year 2012 through a skilled nursing facility claims review pilot, according to a recently released annual report to Congress.
GAO: Clean up claims reviews
By
Elizabeth Newman
Oct 01, 2013
Government investigators claim — and the Centers for Medicare & Medicaid Services concurs — that more consistency is needed with Medicare post-payment claims reviews.
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.
RACs push back against audit improvement bills
By
McKnight's Staff
Jun 06, 2013
An advocacy group for independent Medicare auditors has sharply criticized two bills that would put new controls on Recovery Audit Contractors. The Medicare Audit Improvement Act of 2013 was introduced...
Senate takes up bill to improve Medicare audits, address RAC concerns
By
McKnight's Staff
May 28, 2013
A new Senate bill addresses provider concerns over the Medicare audit process, including the role of Recovery Audit Contractors. The House is also considering a version of the “Medicare Audit Improvement...
RAC transition: Fewer document requests but no slowing of therapy reviews, CMS says
By
McKnight's Staff
May 10, 2013
Providers will see fewer Additional Document Requests starting in June, as the Centers for Medicare & Medicaid Services transitions to new Recovery Audit Program contracts. CMS has started the contract...