In just a few short months, the RAC audit program is expected to kick back into action, running again at full capacity with RAC audit contractors now approved and their provider outreach programs...
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CMS Debuts Electronic Documentation Requests
On January 9th, the Centers for Medicare & Medicaid (CMS) began piloting new electronic communication features to support the audit claims review process. This is the first step in Phase 2 of...
A New Requirement for Obtaining Marketplace Coverage
Some consumers will soon have one more step to complete before successfully enrolling in health coverage through the federal marketplace—a move some are concerned will deter healthy consumers from...
The Fate of the Affordable Care Act Hangs in the Balance
Since the election, there has been heavy speculation around the fate of the Affordable Care Act (ACA). While it's certain changes are in the future, it's not yet clear what those changes will look...
Improve Your Response to Additional Documentation Requests
Review Contractors issue an estimated 2 million requests each year for medical documentation, according to the Centers for Medicare and Medicaid (CMS). Most often, those requests are fulfilled...
CMS Announces RAC Audit Contractors
Oct. 31 marked a big day for the Medicare Fee-For-Service Recovery Audit Contractor (RAC) program. That's when the Centers for Medicare and Medicaid (CMS) announced the news we've all been waiting...