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Medicaid RACs: Effective January 1, 2012 |
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Written by Elizabeth Lamkin, MHA
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Tuesday, 24 January 2012 00:00 |
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 Trouble apparently now comes in threes!
First, just as providers were getting Medicare Recovery Audit Contractors (RACs, or now RAs) under control, Medicare Administrative Contractors (MACs) got thrown into the mix, snarling communication between RAs, MACs and providers. Second, the new Medicare Statement of Work (SOW) for Medicare RACs came out on Sept. 12, 2011, pushing RAs for claims review quotas. And third, we now have the final rule on Medicaid RACs that came out Sept. 16, 2011 and fully became effective on Jan. 1, 2012.
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Keep a Step Ahead of Medicaid RAC Reviews by Preparing Now |
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Written by Kim T. Charland, BA, RHIT, CCS
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Tuesday, 29 November 2011 15:40 |
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 EDITOR'S NOTE: This is the first of a two-part series on the Medicaid RACs
A review of the final rule implementing the Medicaid recovery audit contractor (RAC) program shows that there are several proactive steps that hospitals may take to keep on top of this implementation, yet another, claims review of Medicaid claims to identify improper payments. Since the program officially takes effect on January 1, 2012, the timing is perfect to investigate options.
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The Department of Health and Human Services (HHS) released its final rule for the Medicaid Recovery Audit Program to curb waste, fraud and abuse on Wednesday, September 14. This program comes as the Medicare Recovery Audit Program completes its second year of being used nationally.
NEWARK, N.J. – One of the nation’s leading providers of home health services has agreed to a nine-figure settlement to resolve criminal and civil charges stemming from a nationwide scheme to defraud Medicaid programs and the national Veterans Affairs program of more than $61 million, federal officials announced this week.