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Posts tagged: Recovery Audit Contractor (RAC)

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RAC program spurs spike in administrative appeals by hospitals, report says


The advent of recovery auditing in Medicare has led to a sharp increase in administrative appeals by hospitals, creating administrative logjams but not necessarily leading to victories for providers complaining about denied payments.

Between 2008 and 2012, the number of administrative appeals annually involving inpatient hospital care skyrocketed from 46,000 to 284,000, according to a report out today from HHS' Office of the Inspector General.
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