Center For Medicare Integrity

HHS: RACs not the primary source of the Medicare appeals backlog

HHS: RACs not the primary source of the Medicare appeals backlog

The U.S. Department of Health and Human Services recently issued a brief to the federal D.C. District Court related to the American Hospital Association's case against the agency over the backlog of Medicare appeals.

Why is it so easy to ignore Medicare improper payments?

Why is it so easy to ignore Medicare improper payments?

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Recovery auditors corrected more than $2.57 billion in improper payments for FY 2014 - representing 5% of the $46 billion in wasted taxpayer dollars the program lost in a comparable period to fraud, waste and abuse.

Court rules that SNF can't skip part of Medicare appeals process

Long-term care providers may not leapfrog standard administrative appeals in Medicare reviews, as one creative Louisiana nursing home was reminded last week.

Defeat the plague of improper claims

Defeat the plague of improper claims

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For recovery auditing professionals everywhere, performance-based payments are a financial best practice and the industry standard. The client wins when no upfront expenses occur and payments are made only when actual dollars are returned.

What's in a name?

What's in a name?

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The new name of the American Coalition for Healthcare Claims Integrity is the Council for Medicare Integrity. Does that mean they'll change their focus? Not quite.