Modern Healthcare News
 
RSS feed

Recovery Audit Contractor (RAC) news and information

News
HCA sees Q3 revenue rising, realizes gain from RAC settlement
By John N. Frank | October 16, 2014 | Basic Web Basic Web Subscription Details
HCA Holdings, the largest for-profit hospital chain in the U.S., forecast that revenue increased to $9.2 billion for the third quarter from $8.5 billion in the same quarter in 2013.
FULL STORY »
 

Magazine
Recovery audit contractor program draws readers' ire, and other letters
Modern Healthcare | October 04, 2014 | Print Magazine Print Magazine Subscription Details
Regarding the recent article “RACs recouped $3B for Medicare in 2013”, I would strongly disagree with the validity of the 18.1% reversal rate claimed by the RAC trade group.
FULL STORY »
 

News
Comments on RAC stats refreshing
October 02, 2014 | Basic Web Basic Web Subscription Details
Regarding “RACs' effectiveness exaggerated”: It is refreshing to see this rebuttal, calling CMS statistics out when they are so far from accurate.
FULL STORY »
 

News
RACs' effectiveness exaggerated
October 01, 2014 | Basic Web Basic Web Subscription Details
Regarding “RACs recouped $3B for Medicare in 2013”: I am a healthcare statistician who works very closely with pre- and post-audit compliance risk and mitigation issues. I would strongly disagree with the validity of the 18.1% reversal rate claimed by the recovery audit contractor trade...
FULL STORY »
 

News
RACs recouped $3B for Medicare in 2013
Bob Herman | September 29, 2014 | Basic Web Basic Web Subscription Details
Medicare's recovery auditors returned more than $3 billion into the program's coffers last year, a new government report shows. And providers that appealed those audits won less than 1 in 5 tries. While the RAC trade group cheered the report, it isn't quelling provider criticism of the RAC program.
FULL STORY »
 


Advertisement | View Media Kit

Vital Signs
Why one congressman wants to scrap Medicare's hospital appeals deal
Bob Herman | September 19, 2014
The CMS has been pretty quiet about its Medicare appeals settlement for hospitals, and now a congressman wants the agency to retract the offer altogether.
FULL STORY »
 

Vital Signs
Some providers already taking Medicare's RAC appeal deal
Bob Herman | September 11, 2014
It's been about two weeks since the CMS told hospitals and health systems it would pay a portion of appealed inpatient-status claims, and at least a few have taken Medicare up on its offer.
FULL STORY »
 

News
Former LifePoint exec Sherman named CFO of HMS
Bob Herman | September 09, 2014 | Basic Web Basic Web Subscription Details
HMS Holdings Corp., a major player in Medicare’s auditing space, has named Jeff Sherman CFO, effective Sept. 8.
FULL STORY »
 

Magazine
CMS offers deal in lieu of RAC appeal
Bob Herman | September 06, 2014 | Print Magazine Print Magazine Subscription Details
The CMS has made a tempting offer to hospitals as a way to clear its heavily backlogged Medicare appeals process, and many may take it to save time and money.
FULL STORY »
 

Magazine
Medicare needs to end observation status for patients
Dr. Chris Edwards | September 06, 2014 | Print Magazine Print Magazine Subscription Details
Every time I see a story about the issue of observation services I feel compelled to reply. Quite frankly, it is the existence of observation services that is actually the problem. Any solution has to include the elimination of observation.
FULL STORY »
 

Search ModernHealthcare.com:


 

Switch to the new Modern Healthcare Daily News app

For the best experience of ModernHealthcare.com on your iPad, switch to the new Modern Healthcare app — it's optimized for your device but there is no need to download.