Two Congressional leaders are calling for greater transparency from the Center for Medicare and Medicaid Innovation (CMMI) as it develops new delivery and payment models, and ...
A recent study from Humana reports ongoing progress in improving health outcomes and lowering costs among patients treated by physicians in Humana Medicare Advantage value-based...
The American Hospital Association is urging suspension of Medicare audits until a backlog of appeals is cleared.The suspension in the Recovery Audit Contractor (RAC) program is...
The first recovery audit contractor (RAC) pilot programs began in 2008. More than 1 million medical records have been requested, and hundreds of thousands of appeals have been...
Coping with recovery audits is a nationwide concern for providers that grows more and more each year. And by all predictions, the number of auditors and the volume of those audits...
