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...
Audits paused, providers glad
Apr 01, 2014
Long-term care providers are applauding a pause in the Medicare recovery audit contractor program.
McDermott urges RAC penalties for successfully appealed decisions
Mar 21, 2014
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...
Long-term care groups applaud a pause in Medicare audits, urge permanent changes
Feb 21, 2014
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
Oct 07, 2013
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...
RAC program needs better oversight, Inspector General report finds
Sep 05, 2013
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...
CMS to revise audit practices
Jun 01, 2013
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:...
Senators: Recovery audit contractors might be doubling up tasks; campaign against fraud gears up
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...
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.
How to make your nursing facility RAC-ready
Nov 08, 2011
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...