The Centers for Medicare & Medicaid Services will extend its partial enforcement delay of the unpopular two-midnight policy until the end of the year. The postponement coincides with proposed changes to the short-stay rule that the agency issued in July.
The Casa Colina Hospital and Centers for Healthcare in Pomona, California, has filed a suit against the U.S. Department of Health and Human Services, claiming its backlogged process for resolving Medicare payment disputes has removed sorely needed revenue from its coffers.
The Medicare Recovery Audit Contractor program has created a major financial and administrative burden for hospitals, according to a new report from the American Hospital Association.
The American Hospital Association has undertaken its first major legislative campaign to put Recovery Audit Contractors in what it believes is their correct place.
The Medicare Recovery Audit Contractor program's investigations into potential overpayments overtaxes hospitals, according to a study published in the Journal of Hospital Medicine.
The Centers for Medicare & Medicaid Services identified $3.75 billion in improper payments within the Medicare Recovery Audit Contractor program, according to CMS' annual RAC report to Congress for fiscal year 2013.
Those companies waiting to bid for a recovery audit contractor pact from the Centers for Medicare & Medicaid Services will have to wait. A ruling by the U.S. Court of Federal Claims has likely pushed the bidding process back by as much as a year,
Five years ago, Boca Raton Regional Hospital in Florida faced a $124 million loss and was close to shutting its doors for good. Today, the 400-bed, not-for-profit hospital can boast of a complete financial turnaround. In this exclusive interview, Rudy Braccili Jr., executive director of revenue cycle services, tells FierceHealthFinance about the reasons behind the hospital's new-found success.
The challenges that hospital leaders face were never more apparent this week than during conversations and sessions at the American Hospital Association's annual membership meeting. Healthcare...
Recovery audit contractors have run amok and act more like bounty hunters than impartial judges, says Rick Pollack, executive vice president of the American Hospital Association. He urged hospitals to contact their legislators and demand they reign in RACs by supporting the Medicare Audit Improvement Act, which would place limits on how they conduct audits.