From the category archives:
When your business revolves around what the government has created…you end up being the tail that is wagged. HMS Holdings, one of the largest RAC auditing companies profits drop from $9.82 million to $7.04 million dollars. Let me hear all the docs in unison: boo hoo, we feel so sorry for you! There are not [...]
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Continue ReadingTake a look at this summary report from the CMS. It will open in a new window. Basically from Oct 2009 to Mar 2011 the RACs have recovered $365.8M. Of that over half was collected from Jan 2011 to Mar 2011. Things are speeding up. There has been, and still is, a learning curve going [...]
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Continue ReadingBrace yourself and get ready for a rough ride. For over a year now, whenever the subject of medical necessity has been raised, the standard response from CMS has been “medical necessity is not being reviewed at the present time”, or close variations thereof. “At the present time” gave goosebumps to those who follow the RAC auditing program closely. The other shoe would fall, we just didn’t know when.
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