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Take 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 ReadingAs mentioned before, it is not in the interest of the RAC’s to report a physician for fraud. Why? The RAC’s get ZERO if they report for fraud…BUT if they retract funds paid to a Doc, they then get a percentage of that take. Make sense? How about this: As report in USA Today on [...]
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Continue ReadingIn the previously mentioned article on CMS Manual System changes, I touched on the fact that you need to be organized. There is a second part to that CMS Manual change, and it deals with Monthly Appeals Reports and the proper method a RAC is to follow when they submit those reports. About a year [...]
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