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Medicare Recovery Audit Contracting
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Book Synopsis The Medicare Recovery Audit Contractor Program by : Duane C. Abbey
Download or read book The Medicare Recovery Audit Contractor Program written by Duane C. Abbey and published by CRC Press. This book was released on 2017-11-15 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare fraud is big business, but while only a few profit from intentional malfeasance, the Centers for Medicare and Medicaid Services is now taking a closer look at everyone. The Medicare Recovery Audit Contractor Program, already infamously known as the RAC, swings into full operation in 2010 and every healthcare provider that receives payment
Author :United States Government Accountability Office Publisher :Createspace Independent Publishing Platform ISBN 13 :9781719029780 Total Pages :26 pages Book Rating :4.0/5 (297 download)
Book Synopsis Medicare Recovery Audit Contracting by : United States Government Accountability Office
Download or read book Medicare Recovery Audit Contracting written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-05-12 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Recovery Audit Contracting: Lessons Learned to Address Improper Payments and Improve Contractor Coordination and Oversight
Book Synopsis Medicare Recovery Audit Contracting by : United States. Government Accountability Office
Download or read book Medicare Recovery Audit Contracting written by United States. Government Accountability Office and published by . This book was released on 2010 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Centers for Medicare & Medicaid Services (CMS) conducted a mandated 3-year project from March 2005 through March 2008 to demonstrate the use of recovery audit contractors (RAC) in identifying Medicare improper payments and recouping overpayments. CMS implemented a mandated national RAC program, which began in March 2009. GAO was asked to examine specific issues that arose during the demonstration project and CMS's efforts to address them in the national RAC program. This report examines the extent to which CMS (1) developed a process and took corrective actions to address vulnerabilities identified by the RACs that led to improper payments, (2) resolved coordination issues between the RACs and the Medicare claims administration contractors, and (3) established methods to oversee RAC claim review accuracy and provider service during the national program. GAO reviewed CMS documents and interviewed officials from CMS and contractors and provider groups affected by the demonstration project.
Author :United States Government Accountability Office Publisher :Createspace Independent Publishing Platform ISBN 13 :9781983625114 Total Pages :52 pages Book Rating :4.6/5 (251 download)
Book Synopsis Medicare Recovery Audit Contracting by : United States Government Accountability Office
Download or read book Medicare Recovery Audit Contracting written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-01-08 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although Improvements Made to Contractor Oversight
Book Synopsis Medicare recovery audit contracting by : Kathleen M. King
Download or read book Medicare recovery audit contracting written by Kathleen M. King and published by . This book was released on 2010 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Rac Toolkit for Physician Practices by : Elizabeth E. Lamkin
Download or read book The Rac Toolkit for Physician Practices written by Elizabeth E. Lamkin and published by . This book was released on 2011-10-17 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: RACs are auditing practices. Learn how to prepare. The RAC Toolkit for Physician Practices is your practice's answer to turning plans into proactive action for RAC success. Authors Elizabeth Lamkin, MHA, and Amanda Berglund, MS, MBA, describe how to establish and sustain an effective RAC-preparedness structure that can be adapted to fit any organization's system. They provide best practices for successful processes and outline each staff member's role in your RAC audit program. Physician practice settings are getting audited by RACs. Whether you're dealing with a RAC or another government auditor, you need a program that's running as effectively as it can be. You will use their tested, proven, and practical tools to build a more effective billing compliance program. You'll learn how to bring finance, business office and clinical groups together for operational improvements that drop right to the bottom line. The RAC Toolkit for Physician Practices will help you get the job done right. The RAC Toolkit for Physician Practices will show you how to: * Take a systemic approach to RAC compliance * Incorporate effective structure and processes to existing systems for measurable results * Organize committees and facilitate information flow * Appeal effectively and within deadlines * Use proven tools and methods for an effective RAC program
Author :United States Government Accountability Office Publisher :Createspace Independent Publishing Platform ISBN 13 :9781977954459 Total Pages :38 pages Book Rating :4.9/5 (544 download)
Book Synopsis Medicare Part D by : United States Government Accountability Office
Download or read book Medicare Part D written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-10-05 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2014, the federal government spent $58 billion on Medicare Part D, the voluntary, outpatient prescription drug coverage program. An estimated $1.9 billion of this total was improper payments-including overpayments or underpayments that may be due to errors, such as the submission of duplicate claims for the same service. In January 2011, CMS began a RAC program in Part D that was intended in part to identify and recoup improper payments, as required under the Patient Protection and Affordable Care Act. The RAC is paid a contingency fee from amounts recovered. GAO was asked to review CMS's Part D RAC program implementation, oversight, and results. GAO examined (1) how CMS has implemented the Part D RAC program and any challenges it faced during implementation; (2) the extent to which CMS has overseen the RAC's audit activities; and (3) the results of the RAC's work to date and any challenges CMS and the RAC faced in identifying and collecting improper payments. To do this, GAO analyzed the RAC contract and audit documents, and federal statutes and regulations on Part D and federal contracting. GAO also interviewed CMS and RAC officials.
Book Synopsis Medicare Recovery Audit Contractors and Cms's Actions to Address Improper Payments, Referrals of Potential Fraud, and Performance. by : CreateSpace Independent Publishing Platform
Download or read book Medicare Recovery Audit Contractors and Cms's Actions to Address Improper Payments, Referrals of Potential Fraud, and Performance. written by CreateSpace Independent Publishing Platform and published by Createspace Independent Publishing Platform. This book was released on 2018-07-05 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare recovery audit contractors and CMS's actions to address improper payments, referrals of potential fraud, and performance.
Author :Donna D. Wilson Publisher :American Health Information Management Association ISBN 13 :9781584262350 Total Pages :145 pages Book Rating :4.2/5 (623 download)
Book Synopsis Responding to a Recovery Audit Contractor (Rac) Evaluation by : Donna D. Wilson
Download or read book Responding to a Recovery Audit Contractor (Rac) Evaluation written by Donna D. Wilson and published by American Health Information Management Association. This book was released on 2010-01-01 with total page 145 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare Recovery Audit Contracting by : Kathleen M. King
Download or read book Medicare Recovery Audit Contracting written by Kathleen M. King and published by DIANE Publishing. This book was released on 2010-08 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Centers for Medicare & Medicaid Services (CMS) conducted a three-year project to demonstrate the use of recovery audit contractors (RAC) in identifying Medicare improper payments and recouping overpayments. This report examined issues that arose during the demonstration project and CMS¿s efforts to address them in the national RAC program. It examines the extent to which CMS: (1) developed a process and took corrective actions to address vulnerabilities identified by the RACs that led to improper payments; (2) resolved coordination issues between the RACs and the Medicare claims admin. contractors; and (3) established methods to oversee RAC claim review accuracy and provider service during the national program. Charts and tables.
Book Synopsis The Medicare Recovery Audit Contractor Program by : Duane C. Abbey
Download or read book The Medicare Recovery Audit Contractor Program written by Duane C. Abbey and published by CRC Press. This book was released on 2017-11-15 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare fraud is big business, but while only a few profit from intentional malfeasance, the Centers for Medicare and Medicaid Services is now taking a closer look at everyone. The Medicare Recovery Audit Contractor Program, already infamously known as the RAC, swings into full operation in 2010 and every healthcare provider that receives payment
Author :The Law The Law Library Publisher :Createspace Independent Publishing Platform ISBN 13 :9781721526918 Total Pages :76 pages Book Rating :4.5/5 (269 download)
Book Synopsis Medicaid Program - Recovery Audit Contractors (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) by : The Law The Law Library
Download or read book Medicaid Program - Recovery Audit Contractors (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-16 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program - Recovery Audit Contractors (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - Recovery Audit Contractors (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule implements section 6411 of the Patient Protection and Affordable Care Act (the Affordable Care Act), and provides guidance to States related to Federal/State funding of State start-up, operation and maintenance costs of Medicaid Recovery Audit Contractors (Medicaid RACs) and the payment methodology for State payments to Medicaid RACs. This rule also directs States to assure that adequate appeal processes are in place for providers to dispute adverse determinations made by Medicaid RACs. Lastly, the rule directs States to coordinate with other contractors and entities auditing Medicaid providers and with State and Federal law enforcement agencies. This book contains: - The complete text of the Medicaid Program - Recovery Audit Contractors (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section
Author :United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security Publisher : ISBN 13 : Total Pages :172 pages Book Rating :4.:/5 (318 download)
Book Synopsis Preventing and Recovering Medicare Payment Errors by : United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security
Download or read book Preventing and Recovering Medicare Payment Errors written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security and published by . This book was released on 2011 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Centers for Medicare and Medicaid Services by : Kay L. Daly
Download or read book Centers for Medicare and Medicaid Services written by Kay L. Daly and published by DIANE Publishing. This book was released on 2010-10 with total page 65 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a result of internal control deficiencies discussed in a 2007 report on certain contracts at the Centers for Medicare and Medicaid Services (CMS), the auditor was asked to identify the extent to which CMS: (1) implemented effective control procedures over contract actions; and (2) established a strong control environment for contract management. The auditor used a statistical random sample of 2008 CMS contract actions to assess CMS internal control procedures. The results were projected to the population of 2008 CMS contract actions. The auditor reviewed contract file documentation and interviewed senior acquisition management officials. Includes recommendations. Charts and tables.
Book Synopsis Medicare Advantage: Required Audits of Limited Value by :
Download or read book Medicare Advantage: Required Audits of Limited Value written by and published by DIANE Publishing. This book was released on 2007 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare by : United States. General Accounting Office
Download or read book Medicare written by United States. General Accounting Office and published by . This book was released on 1991 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare Fraud, Waste, and Abuse: Challenges and Strategies for Preventing Improper Payments by : Kathleen M. King
Download or read book Medicare Fraud, Waste, and Abuse: Challenges and Strategies for Preventing Improper Payments written by Kathleen M. King and published by DIANE Publishing. This book was released on 2010-10 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare¿s size and complexity make it vulnerable to fraud, waste, and abuse. Fraud represents intentional acts of deception with knowledge that the action or representation could result in an inappropriate gain, while abuse represents actions inconsistent with acceptable bus. or med. practices. Waste, which includes inaccurate payments for services, also occurs in the Medicare program. In 2009, the Centers for Medicare and Medicaid Services (CMS) estimated billions of dollars in improper payments in the Medicare program. This statement focuses on challenges facing CMS and selected key strategies that are particularly important to helping prevent fraud, waste, and abuse, and ultimately to reducing improper payments. Illustrations.
