WASHINGTON – Those keeping watch over the Centers for Medicare and Medicaid Services’ Recovery Audit Contractor (RAC) program say the audits haven’t been as bad as predicted. Charles Cataline, senior ...

Recovery audit contractors are creating apprehension among healthcare providers. The threat of an audit means increased reliance on efficient, accurate care and billing information. Can vendors help?

The RAC audits — the first to examine medical necessity — will include 18 types of inpatient claims and one type of durable medical equipment claim. RACs are expected to post which audits they will ...

Thanks to the Patient Protection and Affordable Care Act, the healthcare industry can expect to see a significant expansion of the recovery audit contractor (RAC) program, according to RACmonitor.com.

Jackson Davis HealthCare, a consulting group specializing in RAC audits and appeals, lists three ways RAC audits differ from the traditional Medicare audit process used by Medicare Cost Reports and ...

Though recovery audit contractors have been focusing on hospitals as the big fish, they have been auditing practices, too, and have even been scrutinizing E/M codes, according to Frank Cohen, a ...

CMS anticipates Recovery Audit Contractor (RAC) automated reviews will begin in late June and July, according to Marie Casey, deputy director of the Division of Recovery Audit Operations at CMS.

Recovery audit contractors have implemented a new method for identifying provider overpayments--one that will require more legwork by hospitals to rebut, reports AIS Health Services. The new method, ...

RAC audits are the U.S. Department of Health and Human Services effort to scrutinize hospitals' billed claims to correct Over payments Under payments Inappropriately coded claims The audits also seek ...

This column appeared in Texas Ambulatory Surgery Center Society Update, an electronic newsletter published by TASCS. Melinda Taylor ([email protected]), director of business office processes for ...