WASHINGTON – Those keeping watch over the Centers for Medicare and Medicaid Services’ Recovery Audit Contractor (RAC) program say the audits haven’t been as bad as predicted. Charles Cataline, senior ...

Recovery audit contractors are creating apprehension among healthcare providers. The threat of an audit means increased reliance on efficient, accurate care and billing information. Can vendors help?

As many physicians now realize, Recovery Audit Contractors ("RAC") hired by Medicare have turned their attention from hospitals and are now actively pursuing claims submitted by physicians. An audit ...

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 ...

WESTCHESTER, Ill.--(BUSINESS WIRE)-- The Healthcare Financial Management Association (HFMA) Principles and Practices Board has an issue analysis, Accounting for RAC Audit Adjustments and Exposures, ...

CMS anticipates Recovery Audit Contractor (RAC) automated reviews will begin in late June and July, according to Marie Casey, deputy director of the Division of Recovery Audit Operations at CMS.

Jackson Davis HealthCare, a consulting group specializing in RAC audits and appeals, lists three ways RAC audits differ from the traditional Medicare audit process used by Medicare Cost Reports and ...

A major hospital group has called for a federal investigation into mistakes made by recovery audit contractors. “Numerous inaccuracies” often result in improperly denied payments and decisions that go ...

The Comprehensive Error Rate Testing (CERT) Hospital Payment Monitoring Program is one of the ways CMS is trying to improve the quality and accuracy of Medicare claim ...

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 ...

This column appeared in Texas Ambulatory Surgery Center Society Update, an electronic newsletter published by TASCS. Melinda Taylor (melindat@uspi.com), director of business office processes for ...