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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

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

U.S. Supreme Court holds FOIA responses are public disclosures for FCA purposes

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • May 26 2011

In Schindler Elevator Corp. v. United States ex rel. Kirk, the U.S. Supreme Court recently held that False Claims Act (FCA) allegations based on federal agency responses to Freedom of Information Act (FOIA) requests are considered public disclosures under the FCA public disclosure bar

Program integrity-Medicare RACs moving forward full steam ahead; Medicaid RAC implementation delayed

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • March 17 2011

In a move expanding the reach of Recovery Audit Contractors (RACs), the Centers for Medicare & Medicaid Services (CMS) recently provided notice that RACs can request up to 500 records per period for hospitals with more than $100 million in Medicare payments