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Recovery Audit Contractor

RACs collected nearly $2 million from skilled nursing facilities last year, report shows

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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.

CMS should publicly push Congress to reform therapy payment system, long-term care provider association urges

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The Centers for Medicare & Medicaid Services should openly urge Congress to change the way therapy services are reimbursed, the nation's largest long-term care provider association stated in recent written comments to CMS Administrator Marilyn Tavenner.

Federal judge blocks new RAC contracts

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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.

Ask the payment expert ... about continuing RAC requests

Ask the payment expert ... about continuing RAC requests

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I thought the Recovery Audit Contractors (RACs) were on hold. Why did we still get a request for records?

Feds: Without more funds, we are cutting provider oversight

Feds: Without more funds, we are cutting provider oversight

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Nursing providers could feel reduced heat from federal Medicare and Medicaid oversight activities — if an agency official's testimony is to be believed as more than just budget-request bluster.

OIG revenues off $1 billion as oversight relaxes

OIG revenues off $1 billion as oversight relaxes

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Revenues from Department of Health and Human Services Office of Inspector General audits and investigations for the the first half of fiscal 2014 are expected to drop almost $1 billion from the same period last year, bolstering previous revelations that dwindling federal funding for the agency could lead to less restrictive oversight in the year to come.

Audits paused, providers glad

Audits paused, providers glad

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Long-term care providers are applauding a pause in the Medicare recovery audit contractor program.

McDermott urges RAC penalties for successfully appealed decisions

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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 and Human Services Department.

Long-term care groups applaud a pause in Medicare audits, urge permanent changes

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Long-term care stakeholders are praising the government's decision to temporarily pause the recovery audit contractor program, which is associated with a huge backlog of Medicare claims appeals.

SNF Medicare Part A appeals increase, success rate holds steady: OIG report

SNF Medicare Part A appeals increase, success rate holds steady: OIG report

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Skilled nursing facilities have been filing more appeals related to Medicare Part A claim determinations since 2008, and the proportion of successful appeals has remained largely steady, according to a new government report.

RAC program needs better oversight, Inspector General report finds

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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 government report.

CMS to revise audit practices

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Here's the good news for providers dealing with Recovery Audit Program contractors: The federal government will make fewer additional document requests, starting this month. Now the not-so-good news: The Centers for Medicare & Medicaid Services will not slow down other components of the auditing program.

Senators: Recovery audit contractors might be doubling up tasks; campaign against fraud gears up

Senators: Recovery audit contractors might be doubling up tasks; campaign against fraud gears up

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Members of the Senate Finance Committee say they are concerned that the functions completed by independent contractors — known as recovery audit contractors (RACs) and Zone Program Integrity Contractors (PICs) — often overlap.

McKnight's Online Expo to cover audits, payments for SNFs

Medicare's recovery audit contractors (RAC) program recovered $398 million in overpayments in the first quarter of fiscal year 2012, according to a government report.

How to make your nursing facility RAC-ready

How to make your nursing facility RAC-ready

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 preparing to audit every facility that has submitted Medicare claims.

MedPAC rules out RAC program as cause of increase in observational care

MedPAC rules out RAC program as cause of increase in observational care

The rise in observational care in hospitals, which nursing home providers have criticized in recent weeks, is not the fault of the Medicare Recovery Audit Contractor program, according to a new report from the Medicare Payment Advisory Commission (MedPAC).

RAC program fails to adequately reduce improper payments: GAO

RAC program fails to adequately reduce improper payments: GAO

The Centers for Medicare & Medicaid Services has fallen short in its efforts to prevent improper Medicare payments through the use of recovery audit contractors (RACs),a new Government Accountability Office report asserts.

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