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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 ReadingOn July 28th, a report was sent to the Centers for Medicare & Medicaid Services (CMS) from the Inspector General’s office that will have widespread attention in the near future. And it’s without question a physician issue, not a hospital one. If you’re a doctor it will affect your wallet or purse, so you might want to know this.
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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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