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RACs will not conduct postpayment reviews of patient status for Medicare claims with an inpatient admission between Oct. 1 and Dec. 31, 2015.view more »
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.view more »
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.view more »
The Affordable Care Act expanded the RAC program to Medicaidview more »
Rule establishes presumption of medical need for Medicare hospital inpatient admissions that span two midnightsview more »
Office urges action to ensure contractors identify, report improper payments and potential fraudview more »