CMS’ Recovery Auditors — formerly known as Recovery Audit Contractors — have been conducting automated and complex reviews of Medicare payments to healthcare providers for several years now. RACs ...

Deciding how your own internal processes are going to work once the RAC letters start rolling in is probably one of the most daunting tasks we all are grappling with at the moment. Many hospitals ...

Providers familiar with automated claims reviews and complex claims reviews by the recovery audit contractors (RAC) now face another method of overpayment identification: "Semi-automated" claims ...

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 ...

HealthPort recommends eight steps for hospitals to manage audits from recovery audit contractors and other outside agencies. 1. Educate stakeholders. To help members for your organization understand ...

Revenue cycle leaders at the University of Utah Health successfully established an automated and streamlined audit process that identifies potential errors at the point of coding. It's no secret that ...

Although many Americans are focused on the key points of the proposed health care reform legislation, health care providers are instead focusing on existing legislation that could negatively impact ...