For recovery auditing professionals everywhere, performance-based payments are a financial best practice and the industry standard. The client wins when no upfront expenses occur and payments are made...
Watchdog: CMS should monitor Recovery Audit Data warehouse
Apr 17, 2015
A new Government Accountability Office report recommends sweeping government reforms that would mitigate fragmentation and duplication of a number of Medicare and Medicaid programs.
Ask the payment expert … about RACs
Apr 06, 2015
I thought the Recovery Audit Contractors were on hold, so why did I receive a request from our RAC for a Medicare Advantage resident?
RACs snatch back $1.8M
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.
Judge blocks award of new RAC contracts
James M. Berklan
Oct 01, 2014
Medicare’s Recovery Audit Contractor program continues to struggle with controversy.
RACs collected nearly $2 million from skilled nursing facilities last year, report shows
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.
CMS should publicly push Congress to reform therapy payment system, long-term care provider association...
Sep 09, 2014
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...
Federal judge blocks new RAC contracts
Sep 04, 2014
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
Jul 01, 2014
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
James M. Berklan
Jun 01, 2014
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.