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More MA audits on the way?


WASHINGTON – CMS is considering expanding its RAC program for Medicare Advantage, according to a draft scope of work published by the agency.

CMS sets timeline for new RAC

Contract modifications for existing RACs allow agency to get buy-in on changes

WASHINGTON – It looks like CMS will name a new national RAC for HME by late summer of 2016.

CMS limits audits of older claims


BALTIMORE – Wave goodbye to audits of older claims for DME supplied to Medicare beneficiaries during a Part A stay.

New DME RAC program on hold


WASHINGTON – Performant Recovery has filed a Government Accountability Office (GAO) bid protest against CMS.

Connolly snags contract for DME-specific RAC


WASHINGTON – CMS has awarded a national contract to identify overpayments specifically for DME, home health and hospice to Connolly, the agency announced Dec. 30.

RAC audits: CMS adds discussion period


WASHINGTON – The week after a scathing forum on audits, CMS on Feb. 18 pledged to make a number of changes to the recovery audit contractor (RAC) program in 2014.

CMS pauses new RAC audits


WASHINGTON – Industry stakeholders caution HME providers against putting too much stock in CMS’s announcement last week that it will not initiate new audits as it transitions to new recovery audit contractors (RACs).

Audit Task Force: Be ready for ‘anything they throw at us’


WASHINGTON – AAHomecare’s newly resurrected Audit Task Force has developed a multi-pronged approach to fighting audits.

OIG tackles bid savings and improper payments


WASHINGTON – The Texas Medicaid program could have saved $2 million in the Dallas/Forth Worth area alone if it had used competitive bidding pricing for certain DME items in fiscal year 2011, according to a new study from the Office of Inspector General (OIG).

Senators introduce audit legislation


WASHINGTON – Sens. Mark Pryor, D-Ark., and Roy Blunt, R-Mo., recently introduced a Senate companion bill to the Medicare Audit Improvement Act, which was re-introduced in the House in March, according to news reports.