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CMS taps Performant for nat’l RAC for DME


WASHINGTON – CMS has tapped Performant Recovery to perform post-payment reviews of Medicare claims for DMEPOS and home health/hospice nationwide.

CMS provides update on RACs


BALTIMORE – CMS has released requests for proposals for the next round of the recovery auditor contracts.

RACs are back


WASHINGTON – CMS announced last week that the recovery audit contractors (RACs) will restart some of their reviews, but industry stakeholders don’t expect any curveballs.

Certain RAC reviews to resume


WASHINGTON – CMS has announced that the current recovery audit contractors (RACs) will restart some of their reviews.

MESA asks: Can providers get offset to respond to audits, too?


ORLANDO, Fla. – The Medical Equipment Suppliers Association (MESA) has heard back from CMS about why DME providers, unlike hospitals, aren’t reimbursed for the costs of providing copies of records to respond to audits.

GAO supports delay in RAC fees


WASHINGTON – The Government Accountability Office (GAO) this week signed off on Medicare’s plan to pay RACs for audits of hospitals only if a second-level appeals judge upholds their findings, according to news reports.

Is CMS preparing for hunting season?

Friday, April 11, 2014
Jamie Loper
co-founder, DMEevalumate

As Elmer Fudd would say “Be vewwy, vewwy quiet...I'm hunting wabbits!” The Centers for Medicare and Medicaid Services (CMS) may not be hunting rabbits, but they’re hunting the very elusive greenbacks.

Confusion permeates RAC transition


YARMOUTH, Maine – The first few weeks of CMS’s wind-down of audits by the current group of recovery audit contractors (RACs) have brought confusion to some providers.

Bill seeks to curb O&P fraud


WASHINGTON – A bill that would require Medicare to pay only licensed providers for orthotics and prosthetics (O&P) is a proverbial hat trick, say stakeholders.

OIG: ‘High amounts of improper payments may continue’


WASHINGTON – A new report from the Office of Inspector General (OIG) says that while CMS took corrective actions to address the majority of the vulnerabilities it identified, the agency did not evaluate the effectiveness of these actions.