Blog

Belhaven, North Carolina Mayor Adam O’Neal and a ragtag entourage are walking from this picturesque seaport town to Washington D.C. to protest the closing of his town’s critical access hospital (CAH) while calling attention to the 283 other rural hospitals on the endangered list. We’ll catch up with Mayor O’Neal…
May 6, 2015

RAC Reform

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The legislative duo of Representatives Sam Graves (R-Mo.) and Adam Schiff (D-Calif.) has done it again. They have introduced for the second time legislation to reform the Recovery Auditor Contractor (RAC) program. House of Representatives (H.R.) bill 2156, sets out to change the RAC payment structure from the contingency payment…
I welcome you to us - Nancy Beckley, Monitor Mondays Senior Correspondent and president of Nancy Beckley and Associates, and me for a series of captivating broadcasts coming to you live from the Health Care Compliance Association’s Compliance Institute in Orlando. This year’s live broadcasts are being brought to you…
The issue of the home health face-to-face requirement has received a lot of attention recently. When the 2015 Home health Prospective Payment Rule was published, The Centers for Medicare and Medicaid Services (CMS) held an Open Door Forum with subject matter experts and described how this new rule would ease…
Frank Cohen’s article in this Thursday’s RACmonitor eNews, “Retrospective Baseline Probe Audits: Problems and Solutions to an Outdated Methodology,” inspired the upcoming Monitor Mondays broadcast, Feb. 23, 10 AM EST. Just when most compliance professionals were touting the benefits of their “flip phones” of auditing solutions — probe audits —…
Michael Hanna In an unprecedented move, CGS Administrators LLC, the Medicare Administrative Contractor (MAC) for durable medical equipment (DME) for Jurisdiction C, will allow its provider relations senior analyst Michael Hanna to participate on the upcoming Feb. 2 edition of Monitor Mondays. Hanna is the lead for the DME MAC…
Because of the importance of the pending 68 percent solution settlement offer from CMS, RACmonitor, in association with Wachler & Associates, will be conducting a special one-hour, live roundtable on the 68 percent solution on Wednesday, October 1st at 1:30 PM Eastern. Mr. Wachler returns to helm this webcast and…
One of the most talked about issues this year appears to be the CMS 68% solution. Seeking to reduce the volume of inpatient status claims pending in the appeals process, the Centers for Medicare & Medicaid Services (CMS) is offering acute-care and critical access hospitals (CAHs) an administrative agreement to…