Additional RAC Information
- September 2009: On September 16, the Centers for Medicare and Medicaid Services issued a Final Rule Limiting Recoupment of Provider and Supplier overpayments. Click here to learn more!
- September 2009: On September 10th the RAC for Region C, Connolly Healthcare, approved several issues subject to audit for North Carolina providers. Some of the issues are: untimed codes, once in a lifetime procedures, pediatric codes exceeding age parameters.
- September 2009: CMS released transmittal 302which explains the authority RACs, MACs, and other Medicare auditors have to apply exceptions to certain LCD clinically reasonable and necessary requirements. The exceptions, CMS indicated, should be rare and applied only under unusual circumstances.
- August 2009: The RAC for Region B, CGI Federal, posted the first set of issues eligible for RAC audits in Indiana, Michigan and Minnesota. These states are the three “yellow” Region B states where RAC audits are scheduled to begin first.
- August 2009: Connolly Healthcare, the RAC for Region C approved issues eligible for RAC audits in Alabama and Georgia. In addition, Connolly has been approved to audit Durable Medicare Equipment (DME) providers on two issues: Wheelchair bundling and Urological Bundling.
- Andrew Wachler was featured in an article in the August 2009 OR Manager regarding Ambulatory Surgery Centers recouping costs on out-of-network. Click here for more information.
- Connolly Healthcare, the RAC for Region C, may begin auditing Florida providers on specified issues. The approved issues for Florida are similar to those for South Carolina, another state located in Region C, but with some differences. Click here to view the approved issues for Florida and South Carolina.
- The RAC for Region D, HealthDataInsights (HDI), has launched its new RAC website and posted issues eligible for RAC review throughout the region.
- August 14, 2009: On August 13, Mr. Wachler co-presented a Teleconference for the American Bar Association with Connie Leonard, Director of the Division of Recovery Audit Operations for the Centers for Medicare & Medicaid Services. Click here to read more!
- August 2009: Andrew Wachler was featured in an article on Medicare appeals from HCPro's August Issue. Click here for more information.
- July 29, 2009: Wachler & Associates featured in Detroit Legal News for work on RAC audits
- June 24, 2009: CMS releases a RAC Review Phase-In Strategy & RAC Phase-In Map
- June 12, 2009: CMS updates to the Medicare Financial Management Manual RAC information
