CMS Informs Congress of intention to re-start portions of RAC program

From HealthDataManagement.com :

The Centers for Medicare and Medicaid Services is restarting the controversial Recovery Audit Contractor Program—in a limited fashion—in August.

CMS sent a communication on August 4 to congressional health staff members from Lauren Aronson, Director of the Office of Legislation at CMS, informing them of the decision.

“Today, the Centers for Medicare and Medicaid Services announced plans to modify contracts with current Recovery Auditors to allow for a limited number of Medicare fee-for-service claim reviews beginning in August 2014,” states the communication. “Current Recovery Auditors will conduct a limited number of automated reviews and a small number of complex reviews on certain claims including, but not limited to: spinal fusions, outpatient therapy services, durable medical equipment, prosthetics, orthotics and supplies; and cosmetic procedures. The Recovery Auditors will not conduct any inpatient hospital patient status reviews during this limited restart period.”

The Tax Relief and Health Care Act, enacted in December 2006, established a permanent Medicare RAC program. A new paragraph was added to section 1893 of the act, requiring the establishment of a national RAC program for Medicare Part A and Part B. And, Section 6411(b) of the Affordable Care Act amended section 1893(h)(1) of the act by requiring the establishment of RAC programs for Medicare Parts C and D as well.

More from HealthDataManagement.com

 

Advertisements
This entry was posted in Orthotics and Prosthetics, Prosthetist, re provider and tagged , , , , , , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s