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Trade group seeks RAC reform

By Lisa Schencker  |  March 21, 2015

The American Orthotic & Prosthetic Association is proposing a change to Medicare's recovery audit contractor program that it contends would keep providers from suffering devastating financial losses while appealing disputed claims.

Orthotics, prosthetics group proposes RAC audit changes

By Lisa Schencker  |  March 20, 2015

The American Orthotic & Prosthetic Association is proposing a change to Medicare's recovery audit contractor program that it says would keep innocent providers from suffering devastating financial losses while appealing disputed claims.

Federal court keeps Medicare RAC program mired in limbo

By Bob Herman  |  March 12, 2015

Medicare's recovery audit contractor program has been mired in uncertainty for more than a year and a federal appeals court ruling this week likely won't put an end to that, which means continued agony for RACs and, perhaps, relief for hospitals.

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.

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...

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