News

In the January 22nd edition of RACMonitor.Enews two of our distinguished contributors talk about RAC preparedness from two points of view, both of which are compelling. Linda Fotheringill, Esq. doesn't mince words. She uses a four-letter word - a sobering one as well - jail. On the other hand Leo…
January 21, 2009

Hospitals Still At Significant Risk

By Samuel A. Donio, Jr., MBA
By Samuel A Donio, Jr. Many of the target areas that the RAC is examining for potential improvement, such as debridements and septicemia, have been well known integrity-related issues for a number of years. However, CBIZ KA Consulting Services LLC's (CBIZ) RAC reviews have found that hospitals still have significant…
By Leo Paul D'Orazio, MBA, FACHE The impending Recovery Audit Contractors (RAC) program is certainly an issue that is keeping hospital CEOs and CFOs up at night. Regardless of reports of delays, a review is certainly imminent. The three-year demonstration program's review of patient Medicare claims, in addition to preparing…
January 21, 2009

RACs, Physicians and A New Game of Baseball

By Super User
By: Patricia Dear In 2005, the U.S. Congress changed the rules of reimbursement for Medicare services. They not only changed the rules of the "game," they drafted some new players: the Recovery Audit Contractors or RACs. These new players are well paid (they receive 9 to 12 percent of what…
On an ice-cold day reminiscent of the late John F. Kennedy's 1961 inauguration where one could see poet Robert Frost's breath as he recited from memory his favorite poem, "Stopping By the Woods on a Snowy Evening," America's healthcare system seems poised for its best hope on this day -…
January 13, 2009

RAC ALERT!

By Chuck Buck
January 13, 2009---- Reuters is reporting today that U.S. President-elect Barack Obama intends to nominate the Campaign for Tobacco-Free Kids head William Corr as deputy secretary for the Department of Health and Human Services. Obama's nominee for health secretary, former Senate Majority Leader Tom Daschle, told Congress last week that…
Identifying future compliance issues is probably the most difficult job for healthcare compliance personnel. We can always react after an issue has been enunciated although the issue may involve the past over which we have no control. Thus, the real imperative is to identify issues today, for which we can…
January 7, 2009

"Is The Platform Burning?" RAC Education Is Key

By Bret Bissey, MBA, FACHE, CHC
Last month in my initial article for the RAC Monitor, I presented a thesis that the elements of a Model Compliance Program, as detailed to us on numerous occasions by the Department of Health and Human Services, Office of Inspector General’s office, does present healthcare providers with an appropriate structure…