Monthly Archives: August 2012

Medicare RAC Prepayment Review Demonstration Begins August 27

The Medicare Recovery Audit Contractor (RAC) Prepayment Review Demonstration program, designed to reduce fraud and abuse in Medicare Part B claims, will begin reviewing claims documentation and medical necessity determinations in up to eleven states prior to issuing payment beginning August 27th, 2012.  The program was scheduled to … Continue reading

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As Medicaid Expands, 30% of Physicians Decline New Patients

In a new study that could prove troublesome for the Affordable Care Act’s Medicaid expansions, Sandra Decker, an economist with the Centers for Disease Control (CDC) has reviewed data from 2011 suggesting that three in ten primary care physicians would … Continue reading

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CMS Provides New Details On Contractors/Auditors With New Website

In response to recent criticism on the lack of information and oversight of contractors, The Centers for Medicaid and Medicare Services (CMS) recently unveiled a new website to provide providers and stakeholders the most up-to-date information on the following CMS contractors: Payment … Continue reading

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Deal Reached Funding Government for Six Months

This week, Senate Majority Leader Harry Reid, House Speaker John Boehner and officials from the White House reached a deal in principle to fund the federal government, through March 2013, at levels set during tense budget negotiations last year.  If you … Continue reading

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