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CMS

RAC Recoveries Accelerating, Look Out

by RacGuru on May 19, 2011

in RAC News

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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Medicare Fraud Not Acted on?

by RacGuru on August 10, 2010

in RAC News

As 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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Red Flag Rules Delayed

by RacGuru on June 2, 2010

in RAC News

Congress has once again delayed implementation of the Red Flag rules. Now the Red Flag rules do not go into effect until Dec 31, 2010. For many this is a big sign of relief…one more regulation we can delay worrying about. Here are the realities: Red Flag Rules parallel HIPAA Regulations – that is, it [...]

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