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Medicare RAC restrictions hinder HMS Holdings' Q4 growth

By Bob Herman  |  February 27, 2015

HMS Holdings Corp. hit the red ink in the fourth quarter thanks to the lingering standstill in Medicare's recovery audit program, but growing Medicaid contracts offered the company some relief.

RACs are back, at least through 2015

By Bob Herman  |  January 03, 2015

The four private companies that run Medicare's recovery audit program will have their contracts extended through 2015. But it's unclear what types of medical reviews or claims are going to be eligible for auditing.

RACs are back, at least through 2015

By Bob Herman  |  December 31, 2014

The four private companies that run Medicare's recovery audit program will have their contracts extended through 2015. But it's unclear what types of medical reviews or claims are going to be eligible for auditing.

Court tosses AHA's suit over delayed RAC appeals

By Adam Rubenfire  |  December 20, 2014

A U.S. District Court judge last week dismissed a lawsuit by hospitals seeking to compel HHS to meet statutory timelines for processing appeals to recovery audits.

Recovery audit lawsuit dismissed by federal judge

By Adam Rubenfire  |  December 19, 2014

A U.S. District Court judge has dismissed a lawsuit by hospitals seeking to compel HHS to meet statutory timelines for processing appeals to recovery audits. The American Hospital Association said in a statement that it disagrees with the court's decision and expects to file an appeal.

Comments on RAC stats refreshing

October 02, 2014

Regarding “RACs' effectiveness exaggerated”: It is refreshing to see this rebuttal, calling CMS statistics out when they are so far from accurate.

RACs' effectiveness exaggerated

October 01, 2014

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...

RACs recouped $3B for Medicare in 2013

By Bob Herman  |  September 29, 2014

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.

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