While hospitals do not appeal many denials from recovery audit contractors, those denials that are appealed often lead to successful results. Across the nation, hospitals are appealing roughly ...

The Medicare Recovery Audit program has been around for roughly six years now, although it was a demonstration for the first three years. However, fiscal year 2011 was one of the most impactful years ...

With the nationwide rollout of the Recovery Audit Contractor (RAC) program under way, it’s crucial that hospitals and health systems act now to prepare for the process so that they don’t find ...

Appealing RAC denials is certainly a complex process, but providers can take certain steps to increase their success rate. When chart requests come in, the appeals process begins, and it can last ...

Following the transition, however, RAC operations will resume and auditors will be able to audit claims for dates of service during the period covered by the pause in operations. CMS published a list ...

This post was contributed by Louis J. Goodman, PhD, Board member of the Physicians Foundation and Tim Norbeck, CEO of the Physicians Foundation. We recently received a letter from a young practicing ...

Providers who believe their RAC denials will be limited to 200 every 45 days (corresponding with the medical record request limits) may be in for a surprise. Those limits apply only to complex audits, ...

CMS has finalized new contracts for its controversial Medicare Fee-for-Service Recovery Audit Contractors (RACs) program, which pays contractors to research and identify Medicare overpayments to ...

Although many Americans are focused on the key points of the proposed health care reform legislation, health care providers are instead focusing on existing legislation that could negatively impact ...

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 ...

The RAC Web sites are starting to post more information relating to the details of their complex review processes, to the benefit of providers everywhere. All but one (Connolly) of the RACs also has ...