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Tag: Connolly


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New national RAC for HME?

August 28, 2015Liz Beaulieu, Editor

YARMOUTH, Maine - A tug of war between CMS and the RACs over planned changes to contingency fees could lead to a new national RAC for HME, says Andrea Stark.As part of its latest requests for proposals, CMS announced plans to implement a number of changes to its RAC program and one, in particular, has driven two contractors to file protests: The agency wants to prevent the RACs from collecting contingency fees until the second level of appeals is exhausted.“CMS has paid out beaucoup dollars,”...

Andrea Stark, Connolly, National RAC


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GAO clears way for Connolly

April 9, 2015HME News Staff

WASHINGTON - CMS will likely move forward with Connolly as its contractor for the new national RAC for DMEPOS, home health and hospice, according to industry consultant Andrea Stark.In its bid protest docket, the Government Accountability Office lists two protests filed by Performant Recovery on Jan. 6 and Feb.17 as dismissed. This means the protests had a technical or procedural flaw, such as timeliness or jurisdiction, or the agency has taken corrective action that addresses the protests, according...

Audits, Connolly, Contractor, Protest


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Alabama: Contractor's bad rep precedes it

February 20, 2015Theresa Flaherty, Managing Editor

BIRMINGHAM, Ala. - Blue Cross Blue Shield (BCBS) of Alabama has tapped Connolly to audit Medicaid claims, and industry stakeholders are not happy about it.“Our folks are scared to death they will have the same experience with BCBS claims that they've had with Medicare claims where Connolly is concerned,” said Michael Hamilton, executive director of the Alabama Durable Medical Equipment Association. “Connolly has a record for denying Medicare claims for egregious reasons.”The...

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New DME RAC program on hold

January 15, 2015HME News Staff

WASHINGTON - Performant Recovery has filed a Government Accountability Office (GAO) bid protest against CMS.The protest, filed Jan. 6, comes on the heels of the agency's announcement that it had selected Connolly as the recovery audit contractor (RAC) to oversee the national program for DME, home health and hospice.Wilton, Conn.-based Connolly is the current RAC for Jurisdiction C, while Performant Recovery in Livermore, Calif., is the contractor for Jurisdiction A.The national program is on...

Connolly, GAO, Performant Recovery, RAC


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CMS kick-starts new audit program

January 9, 2015Liz Beaulieu, Editor

WASHINGTON - A sweeping new program to identify overpayments specifically for DME, home health and hospice is underway.CMS announced on Dec. 30, amid the quiet of the holidays, that it selected Connolly as the recovery audit contractor (RAC) to oversee the national program.“The announcement came a lot earlier than I thought,” said Wayne van Halem, president of the van Halem Group. “I thought we'd have until mid-2015.”Wilton, Conn.-based Connolly is already the RAC for Jurisdiction...

Connolly, National RAC


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Connolly snags contract for DME-specific RAC

January 6, 2015HME News Staff

WASHINGTON - CMS has awarded a national contract to identify overpayments specifically for DME, home health and hospice to Connolly, the agency announced Dec. 30.CMS announced its plans to create a fifth recovery audit contractor (RAC) back in 2013.Wilton, Conn.-based Connolly is already the RAC for Jurisdiction C, the largest of the four jurisdictions.Along with the RAC, CMS will implement a number of improvements to its audit program, including requiring the RACs to wait 30 days before sending...

Audit, Connolly, RAC


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