Watchdog urges Medicaid to bolster overpayment collection efforts
By
Kimberly Marselas
Jun 30, 2023
The Government Accountability Office is urging Medicaid overseers to do a better job of recouping overpayments, citing their allegedly lenient oversight of state auditing efforts.
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.
Congress should require more Medicare claim auditing — before and after payment
By
Kristin Walter
Mar 16, 2018
There is a much more efficient solution to reducing Medicare spending than the proposed broad cuts to the program budget: Reduce the billions of dollars in incorrect payments each year.
RAC reviews and the long-term care provider
By
David Centafont
Feb 10, 2012
Recently, claims for hospital patients discharged to skilled nursing homes have come under increased review, particularly by various recovery audit contractors. If you know some background and better understand...
Providers urge federal investigation into inaccuracy of RAC audits
By
McKnight's Staff
Oct 26, 2012
A major hospital group has called for a federal investigation into mistakes made by recovery audit contractors. “Numerous inaccuracies” often result in improperly denied payments and decisions...
Ask the payment expert … about RAC nursing home audits
By
Patricia Boyer
Aug 01, 2013
We keep hearing about RACs in skilled nursing homes but we haven’t seen any in our state, so why should we worry about them?
Lawmakers go to bat for providers over backlogged Medicare appeals
By
James M. Berklan
May 22, 2014
Angry lawmakers ripped an overwhelmed Medicare appeals process that has wilted under a tenfold increase in audits recently. Federal officials from two key agencies agreed that the Medicare’s Recovery...
Amid dire economic reports, wasteful Medicare spending must stop
By
Kristin Walter
Jun 25, 2018
Given the significant financial pressures facing our federal government and with the health and economic security of nearly 48 million American seniors on the line, Congress must act now to authorize CMS...
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...