On March 18, the Centers for Medicare and Medicaid Services (CMS) published in the Federal Register two important documents addressing the hotly contested issue of a hospital's ability to obtain payment under Part B for...more
3/22/2013
- Billing CMS Denial of Benefits Healthcare Hospitals Medicare
On February 5, 2013, CMS issued its mandatory Recovery Audit Contractor (RAC or Recovery Auditor) program annual report, detailing overpayments, underpayments, RAC performance and savings to the Medicare program. According to...more
2/27/2013
- ALJ Audits CMS Medicare Overpayment Recovery Audit Contractor
The OIG recently published a report reviewing the implementation of 2005 regulations regarding the administrative law judge (ALJ) level of appeals, the third level of the Medicare appeals system. The 2005 regulatory changes...more
12/11/2012
- ALJ Appeals CMS Medicare OIG
