With the nationwide rollout of the Recovery Audit Contractor (RAC) program under way, it’s crucial that hospitals and health systems act now to prepare for the process so that they don’t find ...

Following the transition, however, RAC operations will resume and auditors will be able to audit claims for dates of service during the period covered by the pause in operations. CMS published a list ...

CMS has finalized new contracts for its controversial Medicare Fee-for-Service Recovery Audit Contractors (RACs) program, which pays contractors to research and identify Medicare overpayments to ...

Appealing RAC denials is certainly a complex process, but providers can take certain steps to increase their success rate. When chart requests come in, the appeals process begins, and it can last ...

Hospitals recently reported appealing nearly one-third of all recovery auditor (RAC) denials, and 75 percent were overturned in favor of the hospital, according to the American Hospital Association’s ...

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 ...

Hospitals reported appealing nearly one-third of all recovery audit (RAC) denials, and 77 percent of those denied claims were overturned in favor of the hospital, according to the American Hospital ...

The American Hospital Association's latest survey on the activities of recovery audit contractors (RACs) indicates that while hospitals are spending a lot of money fighting RACs, they are also ...

Requests for medical records from Medicare recovery auditors (RACs) are up 47 percent since 2012's fourth quarter, according to an American Hospital Association survey of more than 12,000 hospitals.