American Coalition For Healthcare Claims Integrity

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.

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.

Third-party firms that audit Medicare bills for payment issues are pushing back hard against a hospital association plea for more favorable short-stay reimbursements, adding to the ongoing unwelcome specter...

Medicare Recovery Audit Contractors returned $100.4 million in underpayments to healthcare providers in the third quarter of fiscal year 2014, the Centers for Medicare & Medicaid Services has announced.

The Medicare claims review process is unfairly burdening healthcare providers and failing to improve program integrity, due in part to the payment system for certain auditors, Senate leaders said during...

Independent Medicare auditors are criticizing two measures that would put stricter controls on Recovery Audit Contractors.