Controversial Medicare auditors group changes name, website
By
John Hall
Mar 02, 2015
A Medicare payment watchdog group saddled with huge case backlogs and heavily criticized for causing delays in resolving reimbursement issues has changed its name and location on the web.
RAC audit abuse answers vary
By
John O'Connor
Dec 15, 2014
It has been more than 2,400 years since Plato demanded to know who will watch the watchmen. The question is suddenly taking on a modern flavor, as nursing homes, hospitals, doctors and other providers...
Judge blocks award of new RAC contracts
By
James M. Berklan
Oct 01, 2014
Medicare’s Recovery Audit Contractor program continues to struggle with controversy.
Federal judge blocks new RAC contracts
By
Tim Mullaney
Sep 04, 2014
Adding to the ongoing controversy around Medicare’s Recovery Audit Contractor program, a judge has ruled that the government cannot award new RAC contracts until disputed payment terms are resolved.
Audits paused, providers glad
By
Tim Mullaney
Apr 01, 2014
Long-term care providers are applauding a pause in the Medicare recovery audit contractor program.
McDermott urges RAC penalties for successfully appealed decisions
By
Tim Mullaney
Mar 21, 2014
Medicare recovery audit contractors should face financial penalties when providers successfully challenge their decisions, Rep. Jim McDermott (D-WA) stated in a recent letter to the head of the Health...
RAC program needs better oversight, Inspector General report finds
By
Tim Mullaney
Sep 05, 2013
Recovery audit contractors might be better at reviewing Medicare claims than critics allege, but the Centers for Medicare & Medicaid Services could improve RAC performance evaluations, according to a new...
Senators see flaws in RAC payment system
By
Elizabeth Newman
Aug 01, 2013
Aspects of the Medicare Recovery Audit Contractor program came under intense scrutiny during a Senate Finance Committee hearing in June. Lawmakers questioned auditor payment incentives and a sluggish appeals...
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...
New bill would limit power of Medicare recovery audit contractors
By
McKnight's Staff
Oct 17, 2012
Legislation introduced Tuesday aims to reduce some of the authority Medicare’s recovery audit contractors (RACs) wield over investigations into provider claims.