RAC audits: Skilled nursing facilities accounted for miniscule portion of 2011 Medicare overpayments
By
McKnight's Staff
Feb 07, 2013
Skilled nursing facilities accounted for only about $200,000 of $797 million in collected Medicare overpayments in 2011 identified by Recovery Audit Contractors, according to an annual audit report released...
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.
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...
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...
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.
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...
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...
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...