Tag Archives: recovery audit contractor

Hospitals still confronting RAC backlogs

According to the most recent data from the American Hospital Association’s RACTrac Survey of 676 hospitals nationwide, 45 percent of denials were appealed through the second quarter of 2016, with 56 percent of those appeals related to inpatient coding den Continue reading

Posted in Industry News | Tagged , , , , | Leave a comment

Via: Medicare Proposes to Increase RAC Use

[This article originally published in January 2016] If CMS has its way, RACs may be expanding the scope of their review to Medicare Advantage claims, and it has published a detailed, 58-point work plan to hire a RAC “to identify … Continue reading

Posted in Industry News | Tagged , , | Leave a comment

Via: Medicare over-billing big problem in state

Louisiana is No. 1 again. This time the state posted the highest rate of Medicare over-billing in the country. Those providing medical services in the state charged an estimated $1.25 billion more than they should have. U.S. Rep. Garret Graves, … Continue reading

Posted in Articles Found | Tagged , | Leave a comment

The 7 Habits of Highly Effective RACs

Or What the RACs Borrowed from The Walking Dead The 7 Habits of Highly Effective People? [Pfft.] That’s so 80s. There’s another, more timely source you could learn a whole lot more from. Zombies. Not pretty… but hey, based upon … Continue reading

Posted in Academy Blog | Tagged , , | Leave a comment

Senate Finance Committee Approves AFIRM RAC Reform Bill, Slams CMS

Audit & Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015 Passes Finance Committee with Only One Dissent Committee Chariman Senator Orrin Hatch (R-UT) asked if anyone wanted a role-call vote recorded on the approved language for the … Continue reading

Posted in Academy Blog | Tagged , , , , , | Leave a comment

H.R. 2156 Introduced, Seeks RAC Reform in Fees and Fines

Another Bipartisan Bill? Two Congressmen introduced the Medicare Audit Improvement Act of 2015 (H.R. 2156) calling for significant and fundamental changes to Medicare’s national Recovery Audit Contractor (RAC) program on April 30, 2015. Representatives Sam Graves (R-MO) and Adam Schiff … Continue reading

Posted in Academy Blog | Tagged , , , , , | 1 Comment

Infographic by AHA seeks RAC reforms

Check out other American Hospital Association infographics To post this on your own website, visit this page.

Posted in Academy Blog | Tagged , , , , , , , | 1 Comment

CMS RAC Declares Faith in Continuation of the Program, Expects No Changes

Extensions to Continue, New Contracts Soon, Election Results Will Have No Effect CMS publically expressed faith in the RAC programs, wants to continue the current contract extensions, and will likely award new contracts by late summer 2015, according to at … Continue reading

Posted in Academy Blog | Tagged , , , , , | Leave a comment

CMS RAC Auditor Halloween Mask!

CMS RAC Auditor Halloween Mask (with Instructions… better than those provided by CMS groups of late…) For Halloween, try making this CMS RAC Auditor Mask. Below are the Instructions to make the mask.         Here are some … Continue reading

Posted in Academy Blog | Tagged , , | Leave a comment

“Finally Friday!” Strategies for Medicare Level 3 Appeals

FRIDAY October 17, 2014 Medicare Appeals at Level 3: Providers Left in the Lurch Veteran Appeals Attorneys Review Recent Experiences with ALJs How Can You Prepare & Respond? Watch the Replay and Get the Handouts Since CMS began re-educating the … Continue reading

Posted in Finally Friday! | Tagged , , , , , , , , , , , , , , | Leave a comment