Hospitals and health systems have criticized Medicare’s recovery auditors, often known as RACs, but a report from the HHS Office of Inspector General says RACs are doing a good job of finding improper ...
The RACs officially rescinded some reviews in the past few weeks, even after having completed complex reviews including the issuance of denial letters to the providers for the claims reviewed. This ...
Based on collected amounts through June 17, the top issue for Region A was medical necessity for renal and urinary tract disorders. For Region B, the main issue was DRG validation for extensive ...
On maintaining physical health, Benjamin Franklin famously said, “An ounce of prevention is worth a pound of cure.” The phrase could just as accurately be applied to maintaining financial health when ...
With the Jan. 9 deadline for submitting comments on the proposed rules for the Medicaid Recovery Audit Contractor program drawing near, the AHA and other hospital organizations have submitted a ...
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