Hospitals and health systems have criticized Medicare’s recovery auditors, often known as RACs, but a report from the HHS Office of Inspector General says RACs are doing a good job of finding improper ...

Based on collected amounts through June 17, the top issue for Region A was medical necessity for renal and urinary tract disorders. For Region B, the main issue was DRG validation for extensive ...

On maintaining physical health, Benjamin Franklin famously said, “An ounce of prevention is worth a pound of cure.” The phrase could just as accurately be applied to maintaining financial health when ...

Dennis Jones, director compliance services for CBIZ KA Consulting Services, based in East Windsor, N.J., identifies six issues for hospitals in dealing with recovery audit contractors in 2011. 1.

MOBILE, Ala., Dec. 8, 2010 /PRNewswire/ -- SSI announced today that its ClickON® RADs has been deemed RACTrac compatible by the American Hospital Association (AHA). ClickON® RADs, SSI's Recovery Audit ...

The RAC program is on vacation. As noted recently in Healthcare Finance News, “CMS is slowing down audit activity in advance of new contracts.” Regions have been shuffled and new contractors are being ...