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Medicare Recovery Audit Contracting


Medicare Recovery Audit Contracting
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The Medicare Recovery Audit Contractor Program


The Medicare Recovery Audit Contractor Program
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Author : Duane C. Abbey
language : en
Publisher: CRC Press
Release Date : 2017-11-15

The Medicare Recovery Audit Contractor Program written by Duane C. Abbey and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-11-15 with Business & Economics categories.


Medicare fraud is big business, but while only a few profit from intentional malfeasance, the Centers for Medicare and Medicaid Services is now taking a closer look at everyone. The Medicare Recovery Audit Contractor Program, already infamously known as the RAC, swings into full operation in 2010 and every healthcare provider that receives payment



Medicare Recovery Audit Contracting


Medicare Recovery Audit Contracting
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Author : United States Government Accountability Office
language : en
Publisher: Createspace Independent Publishing Platform
Release Date : 2018-05-12

Medicare Recovery Audit Contracting written by United States Government Accountability Office and has been published by Createspace Independent Publishing Platform this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-05-12 with categories.


Medicare Recovery Audit Contracting: Lessons Learned to Address Improper Payments and Improve Contractor Coordination and Oversight



Medicare Recovery Audit Contracting


Medicare Recovery Audit Contracting
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Author : United States Government Accountability Office
language : en
Publisher: Createspace Independent Publishing Platform
Release Date : 2018-01-08

Medicare Recovery Audit Contracting written by United States Government Accountability Office and has been published by Createspace Independent Publishing Platform this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-01-08 with categories.


Although Improvements Made to Contractor Oversight



Medicare Recovery Audit Contracting


Medicare Recovery Audit Contracting
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Author : United States. Government Accountability Office
language : en
Publisher:
Release Date : 2010

Medicare Recovery Audit Contracting written by United States. Government Accountability Office and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with Government contractors categories.


The Centers for Medicare & Medicaid Services (CMS) conducted a mandated 3-year project from March 2005 through March 2008 to demonstrate the use of recovery audit contractors (RAC) in identifying Medicare improper payments and recouping overpayments. CMS implemented a mandated national RAC program, which began in March 2009. GAO was asked to examine specific issues that arose during the demonstration project and CMS's efforts to address them in the national RAC program. This report examines the extent to which CMS (1) developed a process and took corrective actions to address vulnerabilities identified by the RACs that led to improper payments, (2) resolved coordination issues between the RACs and the Medicare claims administration contractors, and (3) established methods to oversee RAC claim review accuracy and provider service during the national program. GAO reviewed CMS documents and interviewed officials from CMS and contractors and provider groups affected by the demonstration project.



Medicare Recovery Audit Contracting


Medicare Recovery Audit Contracting
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Author : Kathleen M. King
language : en
Publisher:
Release Date : 2010

Medicare Recovery Audit Contracting written by Kathleen M. King and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with Government contractors categories.




Responding To A Recovery Audit Contractor Rac Evaluation


Responding To A Recovery Audit Contractor Rac Evaluation
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Author : Donna D. Wilson
language : en
Publisher: American Health Information Management Association
Release Date : 2010-01-01

Responding To A Recovery Audit Contractor Rac Evaluation written by Donna D. Wilson and has been published by American Health Information Management Association this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-01-01 with Medical categories.




The Rac Toolkit For Physician Practices


The Rac Toolkit For Physician Practices
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Author : Elizabeth E. Lamkin
language : en
Publisher:
Release Date : 2011-10-17

The Rac Toolkit For Physician Practices written by Elizabeth E. Lamkin and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-10-17 with categories.


RACs are auditing practices. Learn how to prepare. The RAC Toolkit for Physician Practices is your practice's answer to turning plans into proactive action for RAC success. Authors Elizabeth Lamkin, MHA, and Amanda Berglund, MS, MBA, describe how to establish and sustain an effective RAC-preparedness structure that can be adapted to fit any organization's system. They provide best practices for successful processes and outline each staff member's role in your RAC audit program. Physician practice settings are getting audited by RACs. Whether you're dealing with a RAC or another government auditor, you need a program that's running as effectively as it can be. You will use their tested, proven, and practical tools to build a more effective billing compliance program. You'll learn how to bring finance, business office and clinical groups together for operational improvements that drop right to the bottom line. The RAC Toolkit for Physician Practices will help you get the job done right. The RAC Toolkit for Physician Practices will show you how to: * Take a systemic approach to RAC compliance * Incorporate effective structure and processes to existing systems for measurable results * Organize committees and facilitate information flow * Appeal effectively and within deadlines * Use proven tools and methods for an effective RAC program



Medicare Part D


Medicare Part D
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Author : United States Government Accountability Office
language : en
Publisher: Createspace Independent Publishing Platform
Release Date : 2017-10-05

Medicare Part D written by United States Government Accountability Office and has been published by Createspace Independent Publishing Platform this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-10-05 with categories.


In 2014, the federal government spent $58 billion on Medicare Part D, the voluntary, outpatient prescription drug coverage program. An estimated $1.9 billion of this total was improper payments-including overpayments or underpayments that may be due to errors, such as the submission of duplicate claims for the same service. In January 2011, CMS began a RAC program in Part D that was intended in part to identify and recoup improper payments, as required under the Patient Protection and Affordable Care Act. The RAC is paid a contingency fee from amounts recovered. GAO was asked to review CMS's Part D RAC program implementation, oversight, and results. GAO examined (1) how CMS has implemented the Part D RAC program and any challenges it faced during implementation; (2) the extent to which CMS has overseen the RAC's audit activities; and (3) the results of the RAC's work to date and any challenges CMS and the RAC faced in identifying and collecting improper payments. To do this, GAO analyzed the RAC contract and audit documents, and federal statutes and regulations on Part D and federal contracting. GAO also interviewed CMS and RAC officials.



Medicare Recovery Audit Contracting


Medicare Recovery Audit Contracting
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Author : Kathleen M. King
language : en
Publisher: DIANE Publishing
Release Date : 2010-08

Medicare Recovery Audit Contracting written by Kathleen M. King and has been published by DIANE Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-08 with Health & Fitness categories.


The Centers for Medicare & Medicaid Services (CMS) conducted a three-year project to demonstrate the use of recovery audit contractors (RAC) in identifying Medicare improper payments and recouping overpayments. This report examined issues that arose during the demonstration project and CMS¿s efforts to address them in the national RAC program. It examines the extent to which CMS: (1) developed a process and took corrective actions to address vulnerabilities identified by the RACs that led to improper payments; (2) resolved coordination issues between the RACs and the Medicare claims admin. contractors; and (3) established methods to oversee RAC claim review accuracy and provider service during the national program. Charts and tables.



The Medicare Recovery Audit Contractor Program


The Medicare Recovery Audit Contractor Program
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Author : Duane C. Abbey
language : en
Publisher: CRC Press
Release Date : 2017-11-15

The Medicare Recovery Audit Contractor Program written by Duane C. Abbey and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-11-15 with Business & Economics categories.


Medicare fraud is big business, but while only a few profit from intentional malfeasance, the Centers for Medicare and Medicaid Services is now taking a closer look at everyone. The Medicare Recovery Audit Contractor Program, already infamously known as the RAC, swings into full operation in 2010 and every healthcare provider that receives payment