RACs recovered $8,000 from skilled nursing facilities, $2.3 billion overall in 2012, report shows
By
Tim Mullaney
Mar 27, 2014
Medicare recovery audit contractors collected about $8,000 in fiscal year 2012 through a skilled nursing facility claims review pilot, according to a recently released annual report to Congress.
Medicare appeals at the administrative law judge level will be suspended for two years due to backlog,...
By
Tim Mullaney
Jan 17, 2014
Long-term care providers filing to have a Medicare claims appeal heard by an administrative law judge will not have the case assigned to a judge for at least two years, according to the Office of Medicare...
Feds ease auditing reviews, anti-fraud efforts to surge
By
John O'Connor
Dec 01, 2013
Providers likely will embrace House legislation that eases billing reviews for operators deemed a low fraud risk.
RAC program needs better oversight, Inspector General report finds
By
Tim Mullaney
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...
Ask the payment expert … about RAC nursing home audits
By
Patricia Boyer
Aug 01, 2013
We keep hearing about RACs in skilled nursing homes but we haven’t seen any in our state, so why should we worry about them?
Bill calls for faster action on RAC reports, more ‘expert’ Medicaid oversight
By
McKnight's Staff
Jun 12, 2013
The Centers for Medicare & Medicaid Services should move faster to make changes based on Medicare audits and should have more direct oversight over Medicaid, according to bipartisan legislation introduced...
RACs push back against audit improvement bills
By
McKnight's Staff
Jun 06, 2013
An advocacy group for independent Medicare auditors has sharply criticized two bills that would put new controls on Recovery Audit Contractors. The Medicare Audit Improvement Act of 2013 was introduced...
RAC transition: Fewer document requests but no slowing of therapy reviews, CMS says
By
McKnight's Staff
May 10, 2013
Providers will see fewer Additional Document Requests starting in June, as the Centers for Medicare & Medicaid Services transitions to new Recovery Audit Program contracts. CMS has started the contract...
CMS explains therapy cap notification requirement, but more guidance needed, NASL leader says
By
McKnight's Staff
May 09, 2013
A recent Centers for Medicare & Medicaid memorandum provides some clarity regarding new therapy cap notification rules, but providers still need guidance on other aspects of therapy reimbursement, according...
CMS announces lower minimum request limit for recovery audit contractors
By
McKnight's Staff
Apr 09, 2013
Medicare recovery audit contractors (RACs) can request as few as 20 records in a 45-day period from skilled nursing facilities and other providers as of April 15, according to the Centers for Medicare...