tci Medicare Compliance & Reimbursement - 2014 Issue 19

RACs: Get Up to Speed on New RAC Contracts, Plans for 2014

Learn the difference between ‘complex’ and ‘automated’ reviews. In early August, the Centers for Medicare & Medicaid Services (CMS) announced a delay in awarding new Recovery Audit contracts. Meanwhile, the agency announced plans to restart some claims reviews during the wait time. Word on the street: CMS was preoccupied settling a protest from Region B contractor, CGI Federal, Inc. in the U.S. Court of Federal Claims. “The current RACs are performing under a contract competitively awarded in 2008 that allowed for a base year and four options,” a CMS spokesperson shared with Eli in...

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