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.
Providers should prepare to face even more audits under healthcare reform, expert warns
By
McKnight's Staff
Sep 27, 2012
Providers need to have the appropriate staff and data analytics programs in place to defend against the onslaught of more Medicare and Medicaid claims audits, an expert urged.
Medicare service providers cannot object to a Medicare Recovery Audit Contractor’s (RAC) decision to re-open a payment decision, a federal appeals court ruled Tuesday.
Nonprofit providers bear burden of more frequent compliance audits, survey finds
By
McKnight's Staff
Aug 13, 2012
Nonprofit healthcare providers are disproportionately targeted by outside compliance audits when compared to their for-profit counterparts, a new report asserts.
Lawmakers blast federal efforts to monitor and police Medicare fraud — again
By
McKnight's Staff
Jun 11, 2012
Lawmakers again hammered the Centers for Medicare & Medicaid Services’ Medicare program integrity contractors Friday. The latest salvos were fueled by an agency admission that additional mistakes...
Senators: Recovery audit contractors might be doubling up tasks; campaign against fraud gears up
By
McKnight's Staff
May 03, 2012
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...
CMS awards 26 states with Medicaid audit contracts
By
McKnight's Staff
Apr 02, 2012
Contracts for Medicaid recovery audit contractors (RACs) have been awarded to 26 states, government officials have announced.
McKnight’s Online Expo to cover audits, payments for SNFs
Feb 14, 2012
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.
CMS provides answers to auditor questions
Jan 09, 2012
Medicaid Recovery Audit Contractors will not be replacing existing program integrity contractors, according to new guidelines from the Centers for Medicare & Medicaid Services.
National Medicare RAC Summit to uncover answers on Monday
Nov 04, 2011
The 6th National Medicare RAC Summit will be held Monday in Washington. The pre-conference Recovery Audit Contracting “boot camp” will run from 8 a.m. to 12 p.m. and delve into industry best...