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Author: Kathleen M. King
Publisher: DIANE Publishing
ISBN: 1437931669
Category : Health & Fitness
Languages : en
Pages : 52
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Book Description
The Centers for Medicare & Medicaid Services (CMS) conducted a three-year project to demonstrate the use of recovery audit contractors (RAC) in identifying Medicare improper payments and recouping overpayments. This report examined issues that arose during the demonstration project and CMS¿s efforts to address them in the national RAC program. It examines the extent to which CMS: (1) developed a process and took corrective actions to address vulnerabilities identified by the RACs that led to improper payments; (2) resolved coordination issues between the RACs and the Medicare claims admin. contractors; and (3) established methods to oversee RAC claim review accuracy and provider service during the national program. Charts and tables.
Author: Kathleen M. King
Publisher: DIANE Publishing
ISBN: 1437931669
Category : Health & Fitness
Languages : en
Pages : 52
Get Book Here
Book Description
The Centers for Medicare & Medicaid Services (CMS) conducted a three-year project to demonstrate the use of recovery audit contractors (RAC) in identifying Medicare improper payments and recouping overpayments. This report examined issues that arose during the demonstration project and CMS¿s efforts to address them in the national RAC program. It examines the extent to which CMS: (1) developed a process and took corrective actions to address vulnerabilities identified by the RACs that led to improper payments; (2) resolved coordination issues between the RACs and the Medicare claims admin. contractors; and (3) established methods to oversee RAC claim review accuracy and provider service during the national program. Charts and tables.
Author: Duane C. Abbey
Publisher: CRC Press
ISBN: 1439857415
Category : Business & Economics
Languages : en
Pages : 150
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Book Description
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: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781719029780
Category :
Languages : en
Pages : 26
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Book Description
Medicare Recovery Audit Contracting: Lessons Learned to Address Improper Payments and Improve Contractor Coordination and Oversight
Author: United States. Government Accountability Office
Publisher:
ISBN:
Category : Government contractors
Languages : en
Pages : 47
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Book Description
The Centers for Medicare & Medicaid Services (CMS) conducted a mandated 3-year project from March 2005 through March 2008 to demonstrate the use of recovery audit contractors (RAC) in identifying Medicare improper payments and recouping overpayments. CMS implemented a mandated national RAC program, which began in March 2009. GAO was asked to examine specific issues that arose during the demonstration project and CMS's efforts to address them in the national RAC program. This report examines the extent to which CMS (1) developed a process and took corrective actions to address vulnerabilities identified by the RACs that led to improper payments, (2) resolved coordination issues between the RACs and the Medicare claims administration contractors, and (3) established methods to oversee RAC claim review accuracy and provider service during the national program. GAO reviewed CMS documents and interviewed officials from CMS and contractors and provider groups affected by the demonstration project.
Author: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781983625114
Category :
Languages : en
Pages : 52
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Book Description
Although Improvements Made to Contractor Oversight
Author:
Publisher:
ISBN:
Category : Delegated legislation
Languages : en
Pages : 364
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Book Description
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:
Category : Administrative agencies
Languages : en
Pages : 164
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Book Description
Author: Office of the Federal Register (U S )
Publisher: Government Printing Office
ISBN: 9780160895616
Category : Law
Languages : en
Pages : 920
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Book Description
Author: Duane C. Abbey
Publisher: CRC Press
ISBN: 143987302X
Category : Business & Economics
Languages : en
Pages : 211
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Book Description
The third book in the Healthcare Payment Systems series, Prospective Payment Systems examines the various types of prospective payment systems (PPS) used by healthcare providers and third-party payers. Emphasizing the basic elements of PPS, it considers the many variations of payment for hospital inpatient and outpatient services, skilled nursing f
Author: United States. Congress. House. Committee on Appropriations. Subcommittee on the Departments of Labor, Health and Human Services, Education, and Related Agencies
Publisher:
ISBN:
Category : Administrative agencies
Languages : en
Pages : 1168
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Book Description
