In Audit
Apr 29th, 2011
Since October 2009, when Medicare’s fee-for-service Recovery Audit Contractor (RAC) Program went nationwide, health care providers have returned $313.2 million in alleged Medicare overpayments and received $52.6 million in Medicare underpayments, according to a new report from the Centers for Medicare & Medicaid Services (CMS). The report also identifies the top overpayment issues in eac...
In Audit
Aug 27th, 2010
DCS Healthcare, recovery audit contractor (RAC) for Region A, posted 11 newly approved audit issues on its website mid-August. Unlike its counterpart, CGI Federal, none of the new issues include medical necessity review. Nine of the new issues are for medical severity-diagnosis related groups (MS-DRGs), another also affects inpatient claims and another affects durable medical equipment (DME) ...
In Audit
May 28th, 2010
Internal audits promote healthy medical coding practices and deter Recovery Audit Contractors (RACs) from knocking on your door in search of improper Medicare payments. What should you look out for? A good place to start is to monitor what the four RACs are monitoring. RACs are required to post new issues under review on their ...
In CMS
Jan 18th, 2010
HealthDataInsights (HDI) posted on their website 66 new approved issues for review in just the first week of 2010. These latest issues all pertain to Medicare Severity Diagnosis Related Group (MS-DRG) coding and DRG validation. RACs Post New Issues was last modified: July 5th, 2011 by admin aapc...
In CMS
Nov 2nd, 2009
Recovery Audit Contractors (RAC) HealthDataInsights (HDI) and CGI Federal have added to their list of new issues eligible for review as per the Centers for Medicare & Medicaid Services (CMS). The RAC program, mandated by the Tax Relief and Health Care Act of 2006, is being implemented in 2010 to detect and correct past improper Medicare payments. Tip: ...