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Category : Press Release

Medicare Improper Payment Rate Continues To Climb, Recoveries Decline As RACs Are Sidelined

FOR IMMEDIATE RELEASE November 24, 2014 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 Medicare Improper Payment Rate Continues To Climb, Recoveries Decline As RACs Are Sidelined The FY2014 Medicare FFS program improper payment rate is now 12.7%, representing a $46.0 billion annual loss to the program Washington, D.C. – The Centers for Medicare and Medicaid Services (CMS) have released the Medicare fee-for-service Recovery Audit Program’s annual report to Congress for the fiscal year 2013. The report shares that during that year Recovery Audit […]

FY2013 RAC Report To Congress: RACs are Effective, Accurate And Rarely Overturned on Appeal

FOR IMMEDIATE RELEASE September 29, 2014 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 FY2013 RAC Report To Congress: RACs are Effective, Accurate And Rarely Overturned on Appeal Washington, D.C. – The Centers for Medicare and Medicaid Services (CMS) have released the Medicare fee-for-service Recovery Audit Program’s annual report to Congress for the fiscal year 2013. The report shares that during that year Recovery Audit Contractors (RACs) recovered more than $3 billion in Medicare overpayments to providers; have an average accuracy score […]

GAO: RACs Remain Vital to Medicare Integrity

FOR IMMEDIATE RELEASE August 13, 2014 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 GAO: RACs Remain Vital to Medicare Integrity Report evaluates Medicare integrity programs, emphasizes RAC program’s transparency and effectiveness Washington, D.C. – The U.S. Government Accountability Office today released a new report evaluating Medicare post-payment integrity programs, including Recovery Audit Contractors (RACs). “The report confirms that the RAC program’s high level of transparency and oversight are unique from all other integrity programs,” said Kristin Walter, spokesperson for the American Coalition for Healthcare Claims […]

CMS Restarts the RAC Program

  FOR IMMEDIATE RELEASE Aug. 4, 2014 CMS Restarts the RAC Program Medicare’s most effective integrity initiative to resume auditing in August 2014  Washington, D.C. – The Centers for Medicare and Medicaid Services (CMS) today announced it will allow the Recovery Audit Contractor (RAC) program – used to review Medicare claims, identify billing errors and return misused funds to the Medicare Trust Fund – to review a limited number of billing issues beginning this month. The previous RAC contracts ended June. […]

Senate Hearing Spotlights Impact of Hospital Admissions on Seniors

  FOR IMMEDIATE RELEASE July 30, 2014 Senate Hearing Spotlights Impact of Hospital Admissions on Seniors Lawmakers, witnesses discuss profound negative impact of ‘observation status’ on Medicare beneficiaries, underscoring need for greater Medicare oversight Washington, D.C. – The American Coalition for Healthcare Claims Integrity issued a statement regarding today’s hearing: Admitted or Not? The Impact of Medicare Observation Status on Seniors, held by the U.S. Senate Special Committee on Aging. “Today’s hearing highlighted a critical issue for seniors,” said Becky Reeves, coalition spokesperson. “Medicare […]

Medicare Trustees Report Highlights Ongoing Importance of Integrity Programs

  FOR IMMEDIATE RELEASE July 28, 2014 Medicare Trustees Report Highlights Ongoing Importance of Integrity Programs Trustees say Medicare solvency extended to 2030, urge lawmakers and administrators to address program’s lingering financial challenges Washington, D.C. – The American Coalition for Healthcare Claims Integrity today released the following statement regarding the 2014 Medicare Trustees Report. According to the report, Medicare’s current funding will allow the program to be fully operational until 2030, a four-year increase since last year’s report. “Our coalition is encouraged […]

Hearing Clarifies Status of Medicare Appeals Process

  FOR IMMEDIATE RELEASE July 11, 2014 Hearing Clarifies Status of Medicare Appeals Process Judge Griswold spotlights low rate of overturned cases related to the RAC program Washington, D.C. – The American Coalition for Healthcare Claims Integrity (ACHCI) today issued a statement regarding a hearing held by the U.S. House of Representatives Oversight and Government Reform Subcommittee on Energy Policy, Health Care and Entitlements. The hearing focused on the status of the Medicare appeals system and the current backlog of appeals cases, with the […]

RAC Program Recoveries Plummet for Third Consecutive Quarter

  FOR IMMEDIATE RELEASE July 11, 2014 RAC Recoveries Plummet for Third Consecutive Quarter Quarterly report reveals devastating impact of oversight ‘pause’ on the Medicare Trust Fund Washington, D.C. – The Recovery Audit Contractor (RAC) program corrected $572 million in improper Medicare payments in the third quarter of fiscal year 2014, according to a new report from the Centers for Medicare and Medicaid Services (CMS). The figure represents a 22% decline from last quarter and marks a nine-month slump in recoveries by […]

Senate Roundtable and Report Examine Ways to Improve Medicare Integrity

  FOR IMMEDIATE RELEASE July 9, 2014 Senate Roundtable and Report Examine Ways to Improve Medicare Integrity Discussion clarifies misconceptions about the Recovery Audit Contractor (RAC) program Washington, D.C. – The Senate Special Committee on Aging today held a roundtable discussion about Medicare auditing, including the Recovery Audit Contractor (RAC) program, used to review Medicare claims, identify billing errors and recover misused funds. The participants included Chad Janak, Vice President, Audit Operations, Connolly Healthcare, Kathleen King, Director, Healthcare, Government Accountability Office, and other Medicare stakeholders. […]

Congress to Hold Hearing on Medicare Appeals

  FOR IMMEDIATE RELEASE July 7, 2014 Congress to Hold Medicare Appeals Hearing Lawmakers to examine ongoing delays in the Medicare appeals process Washington, D.C. – The U.S. House Oversight and Government Reform Subcommittee on Energy Policy, Health Care and Entitlements will hold a hearing this Thursday July 10, 2014, at 2 p.m., focusing on the status of the Medicare appeals process. In December 2013, the Office of Medicare Hearings and Appeals (OMHA) suspended the assignment of new appeals cases to Administrative Law Judges […]