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CMS proposes increased rewards for reporting fraud and abuse
- Baker & Hostetler LLP
- -
- USA
- -
- May 2 2013
The Centers for Medicare and Medicaid Services (CMS) recently published a proposed rule modifying certain provisions in their Incentive Reward
Annual report shows meteoric rise in RAC activity
- Baker & Hostetler LLP
- -
- USA
- -
- February 21 2013
On February 5, 2013, CMS issued its mandatory Recovery Audit Contractor (RAC or Recovery Auditor) program annual report, detailing overpayments
American Taxpayer Relief Act amends overpayment recovery time limits
- Baker & Hostetler LLP
- -
- USA
- -
- January 10 2013
The ATRA significantly alters provider rights related to overpayment recoupment, refunds, audits and claims appeals. A provision entitled "Removing
ALJ appeals frequently favorable to providers; OIG calls for reforms
- Baker & Hostetler LLP
- -
- USA
- -
- December 6 2012
The OIG recently published a report reviewing the implementation of 2005 regulations regarding the administrative law judge level of appeals, the third level of the Medicare appeals system
AHA sues HHS for refusal to pay for denied inpatient claims as outpatient services
- Baker & Hostetler LLP
- -
- USA
- -
- November 8 2012
On November 1, 2012, the American Hospital Association (AHA) and four healthcare providers brought suit against HHS for maintaining a policy of refusing to pay for medically necessary care provided to patients
House bill proposed to reform Medicare RAC, MAC and ZPIC audits
- Baker & Hostetler LLP
- -
- USA
- -
- October 25 2012
The Medicare Audit Improvement Act of 2012, a House bill introduced on October 16, 2012 (Bill), proposes to improve the operations of recovery auditors (RACs), as well as increase transparency and accuracy of audits conducted by other Medicare contractors, including Medicare administrative contractors (MACs), fiscal intermediaries and zone program integrity contractors (ZPICs
Texas Medicaid RACs announced
- Baker & Hostetler LLP
- -
- USA
- -
- September 27 2012
The Texas Health and Human Services Commission (HHSC) recently announced a tentative contract award for the Texas Medicaid Recovery Audit Contractor (RAC) contract to both CGI Federal, Inc. and Health Management Systems, Inc. (HMS
Medicare fraud strike force fans out across seven cities; 107 licensed professionals charged
- Baker & Hostetler LLP
- -
- USA
- -
- May 10 2012
On May 2, the U.S. Department of Justice (DOJ) and Department of Health and Human Services (HHS) announced a nationwide takedown by Medicare Fraud Strike Force operations resulting in charges against 107 individuals, including doctors, nurses and other licensed medical professionals, for their alleged participation in Medicare fraud schemes
CMS issues first annual RAC program report to Congress
- Baker & Hostetler LLP
- -
- USA
- -
- October 13 2011
In its first annual report to Congress on the national recovery audit contractor (RAC) program, the Centers for Medicare and Medicaid Services (CMS) reported that RACs had identified and collected $75 million in overpayments and $16.9 million in underpayments for fiscal year (FY) 2010
Medicaid RAC program final rule released
- Baker & Hostetler LLP
- -
- USA
- -
- September 15 2011
The U.S. Department of Health and Human Services (HHS) has released its final rule on the Medicaid Recovery Audit Contractor (Medicaid RAC) program
Current Search
- Firm Name - Baker & Hostetler LLP
- Jurisdiction - USA
- Author - Ameena Ashfaq
- Author - B. Scott McBride