RACs should get mandatory fraud training: OIG
Recovery audit contractors should receive mandatory training on the identification and referral of fraud, HHS’ inspector general’s office recommended in a new report (PDF file).
Office of Inspector General 2010 Work Plan
We are pleased to present the Office of Inspector General (OIG) Work Plan for fiscal year (FY) 2010. This publication describes activities that OIG plans to initiate or continue with respect to the programs and operations of the
RAC Program Moves Ahead After Delay
For a while, CMS’s Recovery Audit Contractor program was on hold, held back by a stop-work order instituted over a dispute involving vendor contracts. Now, however, CMS has resolved the dispute and has made plans to move ahead
CMS RAC Status Update
Mission – The Recovery Audit Program’s mission is to identify and reduce Medicare improper payments through the efficient detection and collection of overpayments made on claims of health care services provided to Medicare
Medicaid Modernization and Improvement Act (What is an RAC?)
The Medicaid Modernization and Improvement Act mandated a pilot project to utilize Recovery Audit Contractors (RAC’s) in an effort to provide additional oversight for acute rehabilitation programs.
Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2012; Changes in Size and Square Footage of Inpatient Rehabilitation Units and Inpatient Psychiatric Units
This proposed rule would implement section 3004 of the Affordable Care Act, which establishes a new quality reporting program that provides for a 2 percent reduction in the annual increase factor beginning in 2014 for failure to report
Medicare Payment Updates for Inpatient Rehabilitation Facilities in Fiscal 2010
OVERVIEW: On July 31, 2009, the Centers for Medicare & Medicaid Services (CMS) issued a final rule updating payment rates and policies for services furnished to people with Medicare in inpatient rehabilitation facilities (IRFs).
75% rule has cut inpatient rehab admissions: study
Tightened restrictions in the 75% rule have resulted in 30,000 fewer Medicare patients receiving care in inpatient rehabilitation facilities, according to a report released jointly today by the Federation of American Hospitals
Qualifying Conditions for Inclusion of Patients in the IRF Compliance Percentage
Inpatient rehabilitation facilities (IRFs) have received millions in improper payments due to miscoded claims–and a total lack of action by Medicare contractors to correct the errors, according to a recent report from the Office
HealthSouth Sees Risk in Returning to 75% Rule
HealthSouth Corp. said President Barack Obama’s deficit-reduction plan, which would reinstate the Medicare compliance threshold for inpatient rehabilitation hospitals to 75%, could lead the company to close a small number of hospitals.
