OIG: ‘High amounts of improper payments may continue’
09/04/2013HME News StaffWASHINGTON – A new report from the Office of Inspector General (OIG) says that while CMS took corrective actions to address the majority of the vulnerabilities it identified,...
View ArticleBill seeks to curb O&P fraud
09/20/2013Theresa FlahertyWASHINGTON – A bill that would require Medicare to pay only licensed providers for orthotics and prosthetics (O&P) is a proverbial hat trick, say stakeholders.“It would...
View ArticleConfusion permeates RAC transition
03/21/2014Theresa FlahertyYARMOUTH, Maine – The first few weeks of CMS’s wind-down of audits by the current group of recovery audit contractors (RACs) have brought confusion to some providers.Provider...
View ArticleIs CMS preparing for hunting season?
04/11/2014As Elmer Fudd would say “Be vewwy, vewwy quiet...I'm hunting wabbits!” The Centers for Medicare and Medicaid Services (CMS) may not be hunting rabbits, but they’re hunting the very elusive...
View ArticleGAO supports delay in RAC fees
05/01/2014HME News StaffWASHINGTON – The Government Accountability Office (GAO) this week signed off on Medicare’s plan to pay RACs for audits of hospitals only if a second-level appeals judge upholds...
View ArticleMESA asks: Can providers get offset to respond to audits, too?
08/06/2014HME News StaffORLANDO, Fla. – The Medical Equipment Suppliers Association (MESA) has heard back from CMS about why DME providers, unlike hospitals, aren’t reimbursed for the costs of...
View ArticleCertain RAC reviews to resume
08/06/2014HME News StaffWASHINGTON – CMS has announced that the current recovery audit contractors (RACs) will restart some of their reviews.The RACs have been on hiatus from sending post-payment...
View ArticleRACs are back
08/08/2014Liz BeaulieuWASHINGTON – CMS announced last week that the recovery audit contractors (RACs) will restart some of their reviews, but industry stakeholders don’t expect any curveballs.Due to...
View ArticleCMS provides update on RACs
11/17/2015HME News StaffBALTIMORE – CMS has released requests for proposals for the next round of the recovery auditor contracts.Until new contracts are awarded, CMS has indicated that the RACs may...
View ArticleCMS taps Performant for nat’l RAC for DME
11/02/2016HME News StaffWASHINGTON – CMS has tapped Performant Recovery to perform post-payment reviews of Medicare claims for DMEPOS and home health/hospice nationwide.The other RACs awarded contracts...
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