CMS should publicly push Congress to reform therapy payment system, long-term care provider association...
By
Tim Mullaney
Sep 09, 2014
The Centers for Medicare & Medicaid Services should openly urge Congress to change the way therapy services are reimbursed, the nation’s largest long-term care provider association stated in recent...
Watchdog: CMS should monitor Recovery Audit Data warehouse
By
John Hall
Apr 17, 2015
A new Government Accountability Office report recommends sweeping government reforms that would mitigate fragmentation and duplication of a number of Medicare and Medicaid programs.
OIG revenues off $1 billion as oversight relaxes
By
John Hall
May 28, 2014
Revenues from Department of Health and Human Services Office of Inspector General audits and investigations for the the first half of fiscal 2014 are expected to drop almost $1 billion from the same period...
RAC program needs better oversight, Inspector General report finds
By
Tim Mullaney
Sep 05, 2013
Recovery audit contractors might be better at reviewing Medicare claims than critics allege, but the Centers for Medicare & Medicaid Services could improve RAC performance evaluations, according to a new...
RAC program fails to adequately reduce improper payments: GAO
Apr 05, 2010
The Centers for Medicare & Medicaid Services has fallen short in its efforts to prevent improper Medicare payments through the use of recovery audit contractors (RACs),a new Government Accountability Office...
McDermott urges RAC penalties for successfully appealed decisions
By
Tim Mullaney
Mar 21, 2014
Medicare recovery audit contractors should face financial penalties when providers successfully challenge their decisions, Rep. Jim McDermott (D-WA) stated in a recent letter to the head of the Health...
Ask the payment expert … about RACs
Apr 06, 2015
I thought the Recovery Audit Contractors were on hold, so why did I receive a request from our RAC for a Medicare Advantage resident?
McKnight’s Online Expo to cover audits, payments for SNFs
Feb 14, 2012
Medicare’s recovery audit contractors (RAC) program recovered $398 million in overpayments in the first quarter of fiscal year 2012, according to a government report.
Senators: Recovery audit contractors might be doubling up tasks; campaign against fraud gears up
By
McKnight's Staff
May 03, 2012
Members of the Senate Finance Committee say they are concerned that the functions completed by independent contractors — known as recovery audit contractors (RACs) and Zone Program Integrity Contractors...
Federal judge blocks new RAC contracts
By
Tim Mullaney
Sep 04, 2014
Adding to the ongoing controversy around Medicare’s Recovery Audit Contractor program, a judge has ruled that the government cannot award new RAC contracts until disputed payment terms are resolved.