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RAC audit

Latest Headlines

Latest Headlines

Hospitals need to realign physician Medicare reimbursement

Medicare reimbursements for a hospital and its physicians are unaligned, reports RAC Monitor. Because hospitals are reimbursed by Medicare Part A and doctors by Medicare Part B, physicians don't have

Medical necessity, not patient convenience, should drive inpatient stay, CMS warns

The perennial issue of medical necessity makes a grand appearance in recent CMS guidance you may have missed. The agency sends a clear message: A patient's convenience or personal needs should not