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.
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.
Regarding “RACs' effectiveness exaggerated”: It is refreshing to see this rebuttal, calling CMS statistics out when they are so far from accurate.
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...
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.
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.
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.
HMS Holdings Corp., a major player in Medicare’s auditing space, has named Jeff Sherman CFO, effective Sept. 8.
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.
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.
In a pre-Labor Day weekend bid to lower its backlog of contentious payment disputes, the CMS late Friday offered to pay hospitals 68% of all medical claims appealed by the service providers after having been rejected by outside auditors.
Lots of people have ideas about how to change Medicare's unpopular two-midnight rule for short patient stays. But based on the public comments the CMS solicited in May, there's no consensus on what a new policy should look like.