In June 2025, Colorado passed a new law that makes significant changes to the state’s Medicaid Recovery Audit Contractor (RAC) program. Colorado has one of the most aggressive RAC programs in the ...
Like Sam & Diane, like Oprah and carbohydrates, like a politician and his conscience, the RACs seem to have an on-again-off-again relationship with physicians' issues. With the publishing of first ...
Medicare pays billions of dollars in fraudulently billed claims each year. To recoup as many fraudulent reimbursements as possible, the Centers for Medicare and Medicaid Services (CMS) relies on ...
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 ...
CMS’ Recovery Auditors — formerly known as Recovery Audit Contractors — have been conducting automated and complex reviews of Medicare payments to healthcare providers for several years now. RACs ...
In a letter to CMS Administrator Don Berwick, MD, the American Hospital Association recommended at least 25 changes in the recently released proposed rules for Medicaid Recovery Audit Contractors, ...
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