CMS announces lower minimum request limit for recovery audit contractors
By
McKnight's Staff
Apr 09, 2013
Medicare recovery audit contractors (RACs) can request as few as 20 records in a 45-day period from skilled nursing facilities and other providers as of April 15, according to the Centers for Medicare...
TODAY’S THE DAY: McKnight’s Online Expo kicks off with session on MDS 3.0 as lawmakers reintroduce...
By
McKnight's Staff
Mar 20, 2013
Representatives Sam Graves (R-MO) and Adam Schiff (D-CA) recently reintroduced a bill to ease audit burdens on long-term care providers. Initially put forward in Oct. 2012, the Medicare Audit Improvement...
Power to the people? That could mean trouble
By
James M. Berklan
Mar 13, 2013
There are plenty of legal concerns that keep nursing home administrators awake at night. Many times, the demons can be kept under the bed or locked in the closet. But not always.
Nursing homes are hospitals’ silent cheering section on this one
By
James M. Berklan
Nov 07, 2012
It’s interesting how competition can make strange bedfellows. Nursing homes and hospitals, for example, are next-door-neighbors on the caregiving block. We all know who has the bigger house on this...
OIG: Medicare contractors, antipsychotics in SNFs to get a closer look
By
McKnight's Staff
Oct 04, 2012
The Medicare contractors keeping close tabs on long-term care facilities will be subject to oversight too, according to a federal working plan released this week.
Medicare auditors becoming more active, denying more claims, survey shows
By
McKnight's Staff
Aug 29, 2012
Requests for medical records by Medicare’s fraud-detecting recovery audit contractors (RACs) jumped sharply from the first- to the second-quarter of fiscal year 2012, a new survey reveals.
OIG: Regulators need to sharpen retrieval of Medicare overpayments made to providers
By
McKnight's Staff
May 25, 2012
Medicare recovery audit contractors have not been diligent enough in collecting previously identified overpayments, a government investigation finds.
Report: Improper Medicare Advantage payments fell $1.2 billion in 2011
By
McKnight's Staff
Apr 02, 2012
Recovery audit contractors and other quality assurance efforts allowed Medicare Advantage to reduce improper payments by $1.2 billion in 2011, according to a new government report.
More collaboration between Medicare and Medicaid fraud detection programs is needed, report finds
By
McKnight's Staff
Mar 22, 2012
More communication is needed between Medicare and Medicaid’s respective program integrity officials, a new report suggests.
Medicare auditors can request twice as many SNF medical records
By
McKnight's Staff
Mar 20, 2012
Medicare recovery audit contractors (RACs) can now request twice as many resident medical records than previously allowed, according to the Centers for Medicare & Medicaid Services.