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Recovery Audit Contractors (RAC)

RACs will not conduct postpayment reviews of patient status for Medicare claims with an inpatient admission between Oct. 1 and Dec. 31, 2015.

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Recovery Audit Contractors (RAC)

Due to Senate consideration of a bill that would extend the delay until October, CMS extends its delay through April 30.

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Recovery Audit Contractors (RAC)

During its September public meeting, MedPAC discussed alternatives to the two-midnight policy, the need for audit reform, and the 3-day SNF rule. The commission will continue to focus on these issues.

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Recovery Audit Contractors (RAC)

GAO released a report recommending that CMS increase oversight of the Medicare claims review process and release additional guidance for contractors to increase efficiency and reduce duplicative claim reviews.

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cms, gao, rac
Recovery Audit Contractors (RAC)

As of Feb. 21, hospitals will not receive new RAC ADRs until the next round of contracts are awarded. In addition, CMS announced five changes to the RAC program that will take effect under new RAC contracts. CMS has not announced when it plans to finalize new contracts.

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Recovery Audit Contractors (RAC)

The Affordable Care Act expanded the RAC program to Medicaid

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Recovery Audit Contractors (RAC)

Rule establishes presumption of medical need for Medicare hospital inpatient admissions that span two midnights

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Recovery Audit Contractors (RAC)

Office urges action to ensure contractors identify, report improper payments and potential fraud

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