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Waste, Fraud, & Abuse News

Inside CMS: OMHA Mediation Pilot Puts CMS, Part B Providers Together To Resolve Appeals

  The Office of Medicare Hearings and Appeals (OMHA) has introduced an alternative method for resolving Medicare appeals cases, in an effort to alleviate a massive backlog of cases. Subscribers to Inside Health Policy can access the full article here.

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Hearing Clarifies Status of Medicare Appeals Process

  FOR IMMEDIATE RELEASE July 11, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 Hearing Clarifies Status of Medicare Appeals Process Judge Griswold spotlights low rate of overturned cases related to the RAC program Washington, D.C. – The American Coalition for Healthcare Claims Integrity (ACHCI) today issued a statement regarding a hearing held by the U.S. House of Representatives Oversight […]

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RAC Program Recoveries Plummet for Third Consecutive Quarter

  FOR IMMEDIATE RELEASE July 11, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 RAC Recoveries Plummet for Third Consecutive Quarter Quarterly report reveals devastating impact of oversight ‘pause’ on the Medicare Trust Fund Washington, D.C. – The Recovery Audit Contractor (RAC) program corrected $572 million in improper Medicare payments in the third quarter of fiscal […]

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Senate Roundtable and Report Examine Ways to Improve Medicare Integrity

  FOR IMMEDIATE RELEASE July 9, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 Senate Roundtable and Report Examine Ways to Improve Medicare Integrity Discussion clarifies misconceptions about the Recovery Audit Contractor (RAC) program Washington, D.C. – The Senate Special Committee on Aging today held a roundtable discussion about Medicare auditing, including the Recovery Audit Contractor (RAC) program, used […]

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Facts About RAC Program Oversight

On July 9, the U.S. Senate Special Committee on Aging will hold a roundtable discussion about the Recovery Audit Contractor (RAC) program and Medicare oversight. Medicare uses four types of integrity contractors to conduct program oversight: Medicare Administrative Contractors (MACs) to process claims & educate providers Recovery Audit Contractors (RACs) to review claims & recover wasted funds […]

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CCAGW Urges Senators to Get the Facts About RACs

    Taxpayer advocacy and government watchdog group Citizens Against Government Waste (CAGW) today sent the following letter to members of the U.S. Senate Special Committee on Aging to clarify key facts about the Recovery Audit Contractor (RAC) program, used to combat waste in Medicare. July 8, 2014 U.S. Senate Special Committee on Aging Washington, […]

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Congress to Hold Hearing on Medicare Appeals

  FOR IMMEDIATE RELEASE July 7, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 Congress to Hold Medicare Appeals Hearing Lawmakers to examine ongoing delays in the Medicare appeals process Washington, D.C. – The U.S. House Oversight and Government Reform Subcommittee on Energy Policy, Health Care and Entitlements will hold a hearing this Thursday July 10, 2014, at 2 p.m., […]

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McKnight’s: CMS announces Medicare appeals without administrative law judges

  The Centers for Medicare and Medicaid Services (CMS) has introduced an alternate dispute resolution option for providers seeking to appeal Medicare claims decisions. The proposal is part of an effort to alleviate the current backlog of cases, which has created ongoing delays. Read more from McKnight’s here.

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Senate Special Committee on Aging to Hold RAC Roundtable

  FOR IMMEDIATE RELEASE July 3, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 Senate Special Committee on Aging to Hold RAC Roundtable Lawmakers and Medicare stakeholders to discuss Medicare auditing, progress toward eliminating improper payments and future RAC program improvements Washington, D.C. – The U.S. Senate Special Committee on Aging will host a roundtable on […]

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Hearing Clarifies Key RAC Misconceptions

  FOR IMMEDIATE RELEASE June 25, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 Hearing Clarifies Key RAC Misconceptions Hearings Integrity Contractors echo calls for increased Medicare oversight Washington, D.C. – The American Coalition for Healthcare Claims Integrity (ACHCI) issued a statement regarding today’s hearing, Medicare Program Integrity: Screening Out Errors, Fraud, and Abuse, held by the U.S. House […]

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