News

December 29, 2008

RAC Delay Not Permanent

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While many healthcare providers are taking a deep sigh of relief, rest assured that the recently announced delay of the Recovery Audit Contractor (RAC) program is not a permanent one. Based on RAC demonstration program outcomes of improper payments identified in excess of $1.03 billion, CMS is certain to get…
In certain respects audits conducted by RACs will be different from those conducted by the OIG and others. Here are some key points to keep in mind as you prepare for the coming storm. Key Point #1 – The RAC Audits Are a Certainty The single, biggest difference with the…
RACs will need CMS approval first to initiate a target review - As you are contemplating how the Recovery Audit Contractors will approach their targeted review, you can follow along as we work our way through the process together. The RACs will receive the Medicare claims database for providers in…
Finally! Some good news about the RACs! - The roll out of the permanent program is being delayed until early February while the loosing bidders protest CMS’ choices on which private companies get the lucrative award as a RAC contractor. The not-so-good news is that the delay of the rollout…
With only weeks before the inauguration of President-elect Barack Obama, political pundits are revisiting a long-held tradition: vigorously speculating on what will be the outcome of the President’s first 100 days in office.Ironically, Election Day, November 4, was when CMS placed an automatic stay on RAC initiatives arising from a…
Just in case you find yourself at your spouse’s office holiday party and dreading the fact that you might end up at the buffet table with a total stranger and at a loss of words, here are a few factoid morsels you can casually toss as you swirl your egg…
By: Samuel A. Donio, Jr., MBA Even though RACs are on hold for the moment, more than a dozen states are in the CMS crosshairs when the program resumes sometime in February of next year. But don’t expect RAC auditors to show up and request to see medical records right…
By: Leo D'Orazio, MBA, FACHE When the long-awaited announcement came, healthcare providers knew that CMS was on track to move the Recovery Audit Contractor program from the demonstration phase to a national rollout. On October 6, 2008, CMS selected four permanent RACs and made it clear that the RACs were…