CMS awards 26 states with Medicaid audit contracts

Share this article:
Rents increased in nursing homes, independent living facilities, NIC quarterly data shows
Rents increased in nursing homes, independent living facilities, NIC quarterly data shows

Contracts for Medicaid recovery audit contractors (RACs) have been awarded to 26 states, government officials have announced.

Remaining states are either waiting for contracts to be awarded or have received an exception to RAC mandates, officials from the Centers for Medicare & Medicaid Services said during the American Health Lawyers Association's Institute on Medicare and Medicaid Payment Issues in Baltimore last week.

One-quarter of the 26 states have contractors who have already begun the process of reviewing claims; the implementation deadline for Medicaid RACs was Jan. 1, 2012.

CMS said it also would begin collecting performance metrics for Medicaid RACs starting in the fall, the Bureau of National Affairs reported.

Contractors are tasked with identifying underpayments and overpayments within state Medicaid program and recovering the overpayments. In the first quarter of 2012 alone, Medicare RACs recovered $398 million in overpayments.

Visit CMS' Medicaid RACs At-A-Glance website, or click here for tips on how the audit process will affect nursing homes. 

Share this article:

More in News

Double homicide at Houston nursing home; victims' roommate arrested

Double homicide at Houston nursing home; victims' roommate ...

A double murder occurred late Tuesday night in a Houston nursing home room shared by four men, according to local authorities. Police arrested Guillermo Correa on suspicion of beating two ...

$2 million HIPAA settlement highlights mobile device risks facing healthcare providers

Laptops and other mobile devices containing personal health information have been stolen from long-term care ombudsman programs and other healthcare organizations, including from Concentra Health Services and QCA Health Plan Inc. Now, Concentra and QCA have agreed to legal settlements totaling nearly $2 million, federal ...

Long-term care nurses often 'scramble' to get family members' blessing for palliative ...

Nursing home residents might not transition to full palliative care until they are very near death, at which point nurses and family members act in a state of crisis, suggests recently published research out of Canada.