Tag:
Recovery Audit Contractors (RACs)
Latest Headlines
Latest Headlines
AHA: Hospitals appeal RAC denials with 77% success
Hospitals reported $355 million in denied claims between the first quarter of 2010 and the third quarter of 2011, according to the quarterly RACTrac survey from the American Hospital Association
Medicare auditors challenging physician diagnoses
Medicare reviewers are delving deeper into medical decision making and beginning to question doctors' diagnoses when they audit claims, according to Report on Medicare Compliance. Diagnosis-related
CMS' failure to act on RAC findings has resulted in $231 million loss, GAO finds
CMS could have collected an additional $231 million in Medicare overpayments during the three-year Recovery Audit Contractor demonstration, had it taken steps to actually correct the
