By
The Centers for Medicare & Medicaid Services (CMS) announced Monday that it would start a new national audit strategy titled Targeted Probe and Educate (TPE) after pilot programs with four Medicare Administrative Contractors (MACs) demonstrated success.  CMS described that success as “including an increase in the acceptance of provider education…
By
It has become evident over the last several years that the Centers for Medicare & Medicaid Services (CMS) has been changing the trajectory of the provision of medical care in the U.S. from a system based on increasing revenue by increasing volume to a system based on rewarding providers for…
By
Sources tell RACmonitor that Performant, the Recovery Audit Contractor (RAC) for Region 1, has been approved by the Centers for Medicare & Medicaid Services (CMS) to begin recovery auditing activity.  The information came on Friday, March 10 via an email from a Medicare Administrative Contractor (MAC) to a Kentucky facility…