The Medicare Recovery Audit Contractor Program

Author : Duane C. Abbey
Publisher : CRC Press
ISBN 13 : 1439821011
Total Pages : 124 pages
Book Rating : 4.15/5 ( download)

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Download or read book The Medicare Recovery Audit Contractor Program written by Duane C. Abbey and published by CRC Press. This book was released on 2017-11-15 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare fraud is big business, but while only a few profit from intentional malfeasance, the Centers for Medicare and Medicaid Services is now taking a closer look at everyone. The Medicare Recovery Audit Contractor Program, already infamously known as the RAC, swings into full operation in 2010 and every healthcare provider that receives payment

Author : Elizabeth E. Lamkin
Publisher : Hcpro Incorporated
ISBN 13 : 9781615691388
Total Pages : 126 pages
Book Rating : 4.83/5 ( download)

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Download or read book The RAC Toolkit for Physician Practices written by Elizabeth E. Lamkin and published by Hcpro Incorporated. This book was released on 2014-05-14 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: RACs are auditing practices. Learn how to prepare. The RAC Toolkit for Physician Practices is your practice's answer to turning plans into proactive action for RAC success. Authors Elizabeth Lamkin, MHA, and Amanda Berglund, MS, MBA, describe how to establish and sustain an effective RAC-preparedness structure that can be adapted to fit any organization's system. They provide best practices for successful processes and outline each staff member's role in your RAC audit program. Physician practice settings are getting audited by RACs. Whether you're dealing with a RAC or another government auditor, you need a program that's running as effectively as it can be. You will use their tested, proven, and practical tools to build a more effective billing compliance program. You'll learn how to bring finance, business office and clinical groups together for operational improvements that drop right to the bottom line. The RAC Toolkit for Physician Practices will help you get the job done right. The RAC Toolkit for Physician Practices will show you how to: * Take a systemic approach to RAC compliance * Incorporate effective structure and processes to existing systems for measurable results * Organize committees and facilitate information flow * Appeal effectively and within deadlines * Use proven tools and methods for an effective RAC program

Author : The Law The Law Library
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781721526918
Total Pages : 76 pages
Book Rating : 4.19/5 ( download)

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Download or read book Medicaid Program - Recovery Audit Contractors (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-16 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program - Recovery Audit Contractors (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - Recovery Audit Contractors (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule implements section 6411 of the Patient Protection and Affordable Care Act (the Affordable Care Act), and provides guidance to States related to Federal/State funding of State start-up, operation and maintenance costs of Medicaid Recovery Audit Contractors (Medicaid RACs) and the payment methodology for State payments to Medicaid RACs. This rule also directs States to assure that adequate appeal processes are in place for providers to dispute adverse determinations made by Medicaid RACs. Lastly, the rule directs States to coordinate with other contractors and entities auditing Medicaid providers and with State and Federal law enforcement agencies. This book contains: - The complete text of the Medicaid Program - Recovery Audit Contractors (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Author : United States Government Accountability Office
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781977954459
Total Pages : 38 pages
Book Rating : 4.56/5 ( download)

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Download or read book Medicare Part D written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-10-05 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2014, the federal government spent $58 billion on Medicare Part D, the voluntary, outpatient prescription drug coverage program. An estimated $1.9 billion of this total was improper payments-including overpayments or underpayments that may be due to errors, such as the submission of duplicate claims for the same service. In January 2011, CMS began a RAC program in Part D that was intended in part to identify and recoup improper payments, as required under the Patient Protection and Affordable Care Act. The RAC is paid a contingency fee from amounts recovered. GAO was asked to review CMS's Part D RAC program implementation, oversight, and results. GAO examined (1) how CMS has implemented the Part D RAC program and any challenges it faced during implementation; (2) the extent to which CMS has overseen the RAC's audit activities; and (3) the results of the RAC's work to date and any challenges CMS and the RAC faced in identifying and collecting improper payments. To do this, GAO analyzed the RAC contract and audit documents, and federal statutes and regulations on Part D and federal contracting. GAO also interviewed CMS and RAC officials.

Author : CreateSpace Independent Publishing Platform
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781722261535
Total Pages : 32 pages
Book Rating : 4.36/5 ( download)

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Download or read book Medicare Recovery Audit Contractors and Cms's Actions to Address Improper Payments, Referrals of Potential Fraud, and Performance. written by CreateSpace Independent Publishing Platform and published by Createspace Independent Publishing Platform. This book was released on 2018-07-05 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare recovery audit contractors and CMS's actions to address improper payments, referrals of potential fraud, and performance.

Author : United States Government Accountability Office
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781719029780
Total Pages : 26 pages
Book Rating : 4.84/5 ( download)

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Download or read book Medicare Recovery Audit Contracting written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-05-12 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Recovery Audit Contracting: Lessons Learned to Address Improper Payments and Improve Contractor Coordination and Oversight

Author : United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security
Publisher :
ISBN 13 :
Total Pages : 172 pages
Book Rating : 4.92/5 ( download)

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Download or read book Preventing and Recovering Medicare Payment Errors written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security and published by . This book was released on 2011 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Donna D. Wilson
Publisher : American Health Information Management Association
ISBN 13 : 9781584262350
Total Pages : 145 pages
Book Rating : 4.54/5 ( download)

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Download or read book Responding to a Recovery Audit Contractor (Rac) Evaluation written by Donna D. Wilson and published by American Health Information Management Association. This book was released on 2010-01-01 with total page 145 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Kathleen M. King
Publisher :
ISBN 13 :
Total Pages : 9 pages
Book Rating : 4.13/5 ( download)

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Download or read book Medicare recovery audit contracting written by Kathleen M. King and published by . This book was released on 2010 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : United States Government Accountability Office
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781983625114
Total Pages : 52 pages
Book Rating : 4.16/5 ( download)

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Download or read book Medicare Recovery Audit Contracting written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-01-08 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although Improvements Made to Contractor Oversight