Recovery Audit Contractor Program
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.
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.
Congressional lawmakers grill top ALJ on appeals backlog, say too many providers are being put out of businessJuly 11, 2014
Efforts to root out Medicare fraud have put far too many above-board providers in auditors' crosshairs, leading to a staggering backlog of appeals that has no easy fix, Congressional lawmakers and a top government official said during a hearing Thursday.
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.
President Obama, much to the dismay of fellow Democrats and healthcare providers, is expected to ask Congress and its super committee to find $300 billion to $500 billion of savings over a decade in entitlement programs.