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Report on Medicare Compliance: Government watchdog organizations critical of RAC audit suspension

  Following the decision by the Centers for Medicare and Medicaid Services (CMS) to suspend nearly 80% of Medicare auditing, our coalition, along with watchdog group Citizens Against Government Waste, has sent letters to Congress urging lawmakers to reinstate Medicare oversight. FROM REPORT ON MEDICARE COMPLIANCE: CMS’s decision to suspend RAC audits of inpatient short-stays until March 31, 2014, is causing an outcry from organizations concerned with government waste. Citizens Against Government Waste (CAGW), a taxpayer advocacy group, and the […]

CAGW Opposes Suspension Of Recovery Audit Contractor’s Program

  Citizens Against Government Waste, a taxpayer advocacy group, is seeking urgent action from members of Congress regarding a recent policy change by the Centers for Medicare and Medicaid Services. The agency’s new rule has brought the Recovery Audit Contract program to a screeching halt and put billions in potential recoveries on the line. FROM CITIZENS AGAINST GOVERNMENT WASTE: Citizens Against Government Waste (CAGW) today sent letters to members of the United States Congress, urging members in both chambers to […]

EHR Intelligence: Suspension of RAC audits could cost Medicare $2 billion

  In response to intense pressure from hospital lobbyists, the Centers for Medicare and Medicaid Services (CMS) suspended 80% of Medicare auditing – a decision that will drain $2 billion from the Medicare Trust Fund. FROM EHR INTELLIGENCE: When the Center for Medicare and Medicaid Services (CMS) announced a suspension of Recovery Audit Contractor (RAC) reviews last month, it was only slated to last from October 1, 2013 until January 1, 2014.  This week, however, the CMS website posted an […]

Hospitals Get $2 Billion “Free Pass” With Suspension of Medicare Claims Reviews

  FOR IMMEDIATE RELEASE November 6, 2013 CONTACT:  Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 Hospitals Get $2 Billion “Free Pass”  With Suspension of Medicare Claims Reviews Coalition highlights devastating financial impact of audit suspension Washington, D.C. – Members of the American Coalition for Healthcare Claims Integrity (ACHCI) are voicing concerns about the Center for Medicare and Medicaid Services (CMS) recent suspension of Recovery Audit Contractor (RAC) reviews of short stay inpatient hospital claims. The auditing suspension was initially to last from […]

RACs Raise Concerns About Suspension of Medicare Claims Reviews

  FOR IMMEDIATE RELEASE October 16, 2013 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 RACs Raise Concerns About Suspension of Medicare Claims Reviews   Coalition highlights devastating financial impact of new rule, points to auditors’ high accuracy rate   Washington, DC – Members of the American Coalition for Healthcare Claims Integrity (ACHCI) voiced concerns today about the new “two-midnight” rule for inpatient admissions issued by the Center for Medicare and Medicaid Services (CMS). CMS has used implementation of this rule to suspend audits of short inpatient hospital […]

American Action Forum: CMS Suspends Review of Costly Improper Medicare Claims, Grants Hospitals Temporary “Free Pass”

  The Centers for Medicare and Medicaid Services recently announced it will temporary halt reviews of certain Medicare claims, following provider complaints that its new Medicare billing policies are confusing. The decision puts the highly effective Recovery Audit Contractor program in limbo, and allows billing errors to occur without  recourse. From the American Action Forum: New guidance issued by the Centers for Medicare and Medicaid Services (CMS) gives hospitals a grace-period where a significant number of claims will not be […]

EHR Intelligence: Consumer advocates opposing Medicare Audit Improvement Act

  The Council on Citizens Against Government Waste, a taxpayer and consumer protection group, is urging members of Congress to withdraw their support for the Medicare Audit Improvement Act, legislation opposed by the Proper Payments coalition. FROM EHR INTELLIGENCE: According to CCAGW, the Centers for Medicare & Medicaid Services (CMS) has recouped $4.5 billion to the Medicare Trust Fund as a result of the recovery audit contract (RAC) program designed to identify improper payments and fraud. The organization is claiming […]

FierceHealthcare: Medicare RACs recoup $2.4B in overpayments in nine months

  This week, the Centers for Medicare and Medicaid Services released its quarterly report of recoveries collected by Recovery Audit Contractors. Between January and September 2013, RACs recovered $2.4 billion in Medicare overpayments. FROM FIERCEHEALTHCARE: The latest CMS data indicates that RACs recouped approximately $2.4 billion in overpayments made to hospitals and other providers in the first nine months of fiscal year 2013. It also reports that providers received $101.9 million back after RAC reviews revealed they were underpaid. During the third quarter, which ended […]

Council for Citizens Against Government Waste Opposes Medicare Audit Improvement Act of 2013

  This week, the Council for Citizens Against Government Waste (CCAGW) is urging members of Congress to oppose or withdraw their support for the Medicare Audit Improvement Act of 2013 . The taxpayer protection group outlined the damaging impact the bill would have on Medicare, seniors and taxpayers in two letters addressed to the House and Senate. FROM CCAGW: WASHINGTON –  The Council for Citizens Against Government Waste (CCAGW) today sent letters to members of the United States Congress, urging members […]

Bloomberg Law: Just the RAC Facts: Controversial Program Roots Out Fraud, Waste in Medicare

  FROM BLOOMBERG LAW: Here are the facts: Medicare is one of the largest insurance programs in the United States, and every year it helps insure more than 49 million seniors and other beneficiaries.1 And, for a variety of reasons, its prognosis is anything but certain; estimates indicate that Medicare will be bankrupt by 2026.2 Contributing factors include an aging baby-boomer population, technological advances in treatment that increase costs, as well as new legislation designed to reduce entitlement expenditures while increasing […]