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A long-term care provider that requested clearance for a system of paying an agency to refer patients is in the clear.

I thought the Recovery Audit Contractors were on hold, so why did I receive a request from our RAC for a Medicare Advantage resident?

If providers feels like they’re under more intense scrutiny than ever before from Medicare recovery audit contractors, there is a good reason: They are.

Independent Medicare auditors are criticizing two measures that would put stricter controls on Recovery Audit Contractors.

The expedited review process was developed so a resident could quickly appeal the process if he or she disagreed when a facility decided that a resident is no longer covered under skilled services.

Providers who want to have an administrative law judge consider a Medicare claim appeal can save their breath and memos for now.

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...

A six-year-old Medicare demonstration program that focuses on pre-approvals for power wheelchairs and other mobility devices will get new life this fall. Overall, 31 items were added to the program, according...

Providers will have their say about the future of Medicare Administrative Contractors.

Federal regulators have agreed to gather more comments from providers and others on the revision of new skilled nursing prospective payment system case-mix methodology.