Recovery Audit Contractors (RACs)

Latest Headlines

Latest Headlines

CMS extends two-midnight rule enforcement delay

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.

California rehab hospital sues HHS over backlogged appeals for denied claims

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.

Hospitals can face millions in RAC administrative costs

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.

Bill in Congress would severely clip RACs' wings

The American Hospital Association has undertaken its first major legislative campaign to put Recovery Audit Contractors in what it believes is their correct place.

RAC appeals overburden hospitals

The Medicare Recovery Audit Contractor program's investigations into potential overpayments overtaxes hospitals, according to a study published in the Journal of Hospital Medicine.

RACs collected nearly $4B in 2013

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.

CMS to put off new RAC contracts for another year

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,

Success story: Faced with closure five years ago, Florida hospital now in the black

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.  

RACs, politics, hospital survival dominate AHA annual membership meeting

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...

AHA: Time to rein in Recovery Audit Contractors

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.