tci Medicare Compliance & Reimbursement - 2006 Issue 13

AUDITS: Medicare 'Bounty Hunters' To Receive Payment For Reconnaissance

P4P train 'has left the station,' CMS says.Providers who thought they were safe from the Recovery Audit Contractors need to start worrying again.Congress appointed the RACs to investigate claims in Florida, California and New York, and they receive compensation based on how many overpayments they find. The RACs had been focusing on hospital claims, but now they're starting to turn their attention toward physician claims.But there's good news: the Centers for Medicare & Medicaid Services changed the rules for the RACs, CMS officials reassured the Practicing Physicians Advisory Council at its recent meeting. Now instead...

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