Healthcare News & Insights

CMS offers deal for postponed RAC appeals — but there’s a catch

The Centers for Medicare & Medicaid Services (CMS) shut down its recovery audit contract (RAC) program because of a massive backlog of appeals. Now it’s offering a deal to hospitals to reduce the backlog, but should your facility take the bait? 

Medicare audits coming back: What CMS is looking for

Healthcare providers need to get ready — the recovery audit contract (RAC) program is being revived. 

RACs now reviewing outpatient therapy claims

  Your hospital should get ready to see more recovery audit contractors (RACs). As of April 1, as mandated by the American Taxpayer Relief Act of 2012 (ATRA), RACs will be manually reviewing outpatient therapy claims exceeding $3,700.

RACs target hospitals: Protect your facility from lost revenue

Guess which hospital area garnered 41% of the total $992.7 million overpayment collections made by Medicare’s Recovery Audit Contractors (RACs) during the demonstration phase?