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Waste, Fraud, & Abuse News

The Hill: HHS brings back Medicare program that caught $8B in wasteful payments

  After a two-month hiatus, the Recovery Audit Contractor (RAC) program –  used to combat waste in Medicare – will be reinstated in August.

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CMS Restarts the RAC Program

  FOR IMMEDIATE RELEASE Aug. 4, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 CMS Restarts the RAC Program Medicare’s most effective integrity initiative to resume auditing in August 2014  Washington, D.C. – The Centers for Medicare and Medicaid Services (CMS) today announced it will allow the Recovery Audit Contractor (RAC) program – used to review Medicare […]

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Senate Hearing Spotlights Impact of Hospital Admissions on Seniors

  FOR IMMEDIATE RELEASE July 30, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 Senate Hearing Spotlights Impact of Hospital Admissions on Seniors Lawmakers, witnesses discuss profound negative impact of ‘observation status’ on Medicare beneficiaries, underscoring need for greater Medicare oversight Washington, D.C. – The American Coalition for Healthcare Claims Integrity issued a statement regarding today’s hearing: Admitted or Not? […]

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Medicare Trustees Report Highlights Ongoing Importance of Integrity Programs

  FOR IMMEDIATE RELEASE July 28, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 Medicare Trustees Report Highlights Ongoing Importance of Integrity Programs Trustees say Medicare solvency extended to 2030, urge lawmakers and administrators to address program’s lingering financial challenges Washington, D.C. – The American Coalition for Healthcare Claims Integrity today released the following statement regarding the 2014 […]

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RAC FACTS REPORT: JULY 2014

RACs Return Record-High $100 Million to Providers in Third Quarter The Recovery Audit Contractor (RAC) program returned $100.4 million to providers in the third quarter of fiscal year 2014, representing a record high for the program. Created by Congress in 2009, the RAC program reviews Medicare claims for billing errors and recovers misused program funds. […]

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Inside CMS: Medicare Auditors Raise Issues With Ellmers Bill Restricting DME Audits

  Congress has proposed a bill that would dramatically reduce the ability for Medicare auditors to root out waste, fraud and abuse related to medical supplies. Subscribers to Inside CMS can read the full story here.

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Inside CMS: Providers, Senate Aging Panel Urge More Proactive Plan To Fix Medicare Error Rate

    The Senate Special Committee on Aging held a roundtable discussion about ways to improve Medicare oversight, in light of increasing rates of Medicare improper payments. Subscribers to Inside Health Policy can read the full story here.

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McKnight’s: RACs returned a record $100 million to providers in the third quarter, CMS announces

  Recovery Audit Contractors (RACs) – which recover funds related to improper payments on behalf of providers and Medicare – returned a record high $100.4 million to providers in the third quarter 2014.

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WALL STREET JOURNAL: Medicare Auditing Recoveries Drop

  Savings by the Medicare Recovery Audit Contractor (RAC) program continue to decline due to ongoing constraints on the program. Subscribers to the Wall Street Journal can read more here.

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EHR Intelligence: Medicare RAC recoveries down 22% due to program cuts

  Medicare’s flagship integrity program – the Recovery Audit Contractor (RAC) program – has faced numerous cuts over the past year, leading to a sharp decline in  savings by the oversight program. Read the full article from EHR Intelligence here.  

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