RACs recovered $2.4 billion in provider overpayments last year: report
Oct 19, 2015
The Medicare Recovery Audit Program identified and corrected more than 1.1 million claims for improper payments worth $2.57 billion in fiscal year 2014, according to a new Centers for Medicare & Medicaid...
Court rules that SNF can’t skip part of Medicare appeals process
Apr 27, 2015
Long-term care providers may not leapfrog standard administrative appeals in Medicare reviews, as one creative Louisiana nursing home was reminded last week.
RAC beats CMS on payment lawsuit appeal
By
John Hall
Mar 16, 2015
A federal appeals court last week ruled that the Centers for Medicare & Medicaid Services violated federal contracting regulations when it stretched out payment terms for recovery audit contractors.
Make auditors also pay for their mistakes, doc group insists
By
James M. Berklan
Dec 08, 2014
Recovery Audit Contractors making incorrect accusations should also be penalized, the American Medical Association is telling lawmakers and regulators. Physicians, long-term care operators and other providers...
RACs snatch back $1.8M
By
Tim Mullaney
Nov 01, 2014
Recovery Audit Contractors collected $1.8 million in Medicare overpayments made to skilled nursing facilities in fiscal year 2013, according to a Congressional report released in late September.
RACs collected nearly $2 million from skilled nursing facilities last year, report shows
By
Tim Mullaney
Sep 30, 2014
Recovery Audit Contractors recovered $1.8 million in Medicare overpayments made to skilled nursing facilities in fiscal year 2013, according to a Congressional report released Monday.
MedPAC chairman: Three-day stay requirement is ‘archaic’
By
Tim Mullaney
Sep 16, 2014
The government should pay for skilled nursing care without a preliminary three-day hospital stay, and the recovery auditor program should be reformed, Medicare Payment Advisory Commission members said...
RACs return $100 million to providers, as criticism grows
By
Kimberly Marselas
Sep 01, 2014
Medicare Recovery Audit Contractors returned a record $100.4 million in identified underpayments to providers between April and June.
Report: Long-term care providers pay the price for CMS’ poor auditor oversight
By
Tim Mullaney
Aug 14, 2014
Long-term care and other providers could be facing unfair burdens due to ineffective government oversight of Medicare auditors, according to a new report from a federal watchdog agency.
Congress grills top judge on appeals jam backlog
By
Tim Mullaney
Aug 01, 2014
There is no easy fix to the staggering backlog of Medicare appeals, a government official said during a July 10 Congressional hearing.