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Waste, Fraud, & Abuse News

McKnights: RACs Return $100 Million to Providers, as Criticism Grows

  Between April and June 2014, RACs returned $100 million to providers, the program’s most outspoken critics. Read more at McKnights.

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Inside CMS: CMS Gives RACs Green Light To Start Automated Audits As Program Re-Starts

  With contract updates completed, CMS is now allowing Recovery Audit Contractors to being auditing once again. Subscribers to Inside CMS can read the full story here.

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RAC FACTS REPORT: AUGUST 2014

CMS Announces Limited Restart of RAC Program On August 4, the Centers for Medicare and Medicaid Services (CMS) announced plans to restart the Recovery Audit program on a limited basis. Recovery Audit Contractors (RACs) will soon begin automated and complex reviews on claims related to spinal fusions, outpatient therapy services, durable medical equipment, prosthetics, orthotics and supplies, […]

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GAO: RACs Remain Vital to Medicare Integrity

  FOR IMMEDIATE RELEASE August 13, 2014 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 GAO: RACs Remain Vital to Medicare Integrity Report evaluates Medicare integrity programs, emphasizes RAC program’s transparency and effectiveness Washington, D.C. – The U.S. Government Accountability Office today released a new report evaluating Medicare post-payment integrity programs, including Recovery Audit Contractors (RACs). “The report confirms […]

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CAGW: GAO Urges CMS to Streamline Improper Payment Review Process

  Government watchdog group, Citizens Against Government Waste, responds to a July GAO report on postpayment claims reviews.   Read more from Citizens Against Government Waste here.

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Bloomberg BNA: RACs Are Back, Albeit on a Limited Basis

  CMS has reintroduced the RAC program with limited contracts. Read more on Bloomberg BNA.

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Inside CMS: Senators Use HHS Approps Bill To Push Medicare Appeals System Fix

  The Senate has released its annual appropriations bill, including a provision aimed at tackling ongoing delays in the Medicare appeals process. Subscribers to Inside Health Policy can access the full article here.

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Inside CMS: Senators Look To Address Impact Of Observation Status On Nursing Home Care

  The Senate Special Committee on Aging recently held a hearing to explore the impact of hospital ‘observation status’ admission on Medicare beneficiaries. Subscribers to Inside CMS can access the full story here.

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Inside CMS: CMS Restarts Limited RAC Program After New Contracts Continue To Be Delayed

  The Centers for Medicare and Medicaid Services (CMS) announced it will allow the Recovery Audit Contractor (RAC) program to resume oversight of Medicare improper payments, following a two-month hiatus. Subscribers to Inside CMS can access the full story here.

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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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