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 ...

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 ...

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 ...

I thought the Recovery Audit Contractors (RACs) were on hold. Why did we still get a request for records? There could be several reasons. First, if you have a claim already in the RAC process and you ...

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 ...

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 ...

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 ...