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The Centers for Medicare & Medicaid Services (CMS) has taken the next steps in the agency’s comprehensive efforts to identify improper Medicare payments and fight fraud, waste and abuse in the Medicare program by awarding contracts to four permanent Recovery Audit Contractors (RACs) designed to guard the Medicare Trust Fund.

Modern Healthcare Coverage of RAC

CMS recovery audits on hold as contractors wrestle big backlog

CMS recovery audits on hold as contractors wrestle big backlog

By Beth Kutscher  |  February 20, 2014

The CMS is winding down its recovery audit program with its current contractors, placing the program effectively on hold—perhaps for several months—while it awards new contracts. The pause could be tacit acknowledgment of the need to address issues with the program, a healthcare analyst...

RAC appeals backlog cause for frustration

RAC appeals backlog cause for frustration

By Joe Carlson  |  January 10, 2014

Appealing bad decisions by Medicare's recovery audit contractors has never been easy. But the system has become so overloaded in recent months that some are calling it an administrative quagmire that is denying basic due process rights because it takes so long.

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