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 ...

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 ...

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 ...

A: The Medicare Appeals process will remain the same for physicians under Part B and Part A non-inpatient claims. The only difference under Part A is for the inpatient hospital claims under the ...

Deciding how your own internal processes are going to work once the RAC letters start rolling in is probably one of the most daunting tasks we all are grappling with at the moment. Many hospitals ...

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 ...

Each regional recovery audit contractor (RAC) differs in its approach when it comes to dealing with providers. Connolly Healthcare, the RAC for Region C, is fairly transparent when it comes to its ...

The Medicare Recovery Audit Contractor (RAC) process needs immediate reform, according to a letter to Health and Human Services Secretary Kathleen Sebelius signed by 111 members of the U.S. House of ...