Meredith Duncan

Meredith Duncan

Polsinelli

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RAC Program to Resume Limited Reviews

On August 4, 2014, the Centers for Medicare and Medicaid Services (CMS) announced that it would allow the Recovery Audit Contractor Program (RAC) to resume a limited number of reviews in August. The program has been dormant...more

9/2/2014 - Audits CMS OMHA Recovery Audit Contractor

Streamlined RAC Appeal Processes Lead To Winning Legal And Economic Outcomes

Armed with the Recovery Audit Contract (RAC) Program, the Federal government has been very successful in recouping Medicare overpayments from health care providers in recent years. During a RAC audit, program contractors...more

1/24/2014 - Healthcare Medicare Overpayment Recovery Audit Contractor

Health Reform + Related Health Policy News - January 2014, Issue 1

In This Issue: - Top News ..Congress Approves Budget Deal with Short-Term ‘Doc Fix' ..CMS “Two-Midnight” Rule delayed until March 31, 2014 ..Individuals with Canceled Insurance Policies May Apply for...more

1/24/2014 - Affordable Care Act CMS EHR Exempt Organizations Healthcare Healthcare Fraud Healthcare Reform HHS HIPAA Hospitals Medicare Misbranding OCR OIG Prescription Drugs Tax Exemptions

CMS Ruling On Part B Rebilling After RAC Audits

On March 13, 2013, the Centers for Medicare & Medicaid Services (CMS) issued a ruling contrary to its traditional billing policy regarding payment of Part B inpatient services following denial of a Part A claim. Ruling...more

3/25/2013 - CMS Medicare Medicare Part A Medicare Part B RAC Audits

Illinois Jury Found Nursing Home Liable For $28.1 Million In Whistleblower Case Alleging Substandard Care And Resident Abuse

An Illinois district court jury in United States v. Momence Meadows Nursing Center, Inc. recently issued a verdict on February 11, 2013 imposing $28.1 million in civil penalties on the operators of a nursing home. The nursing...more

2/22/2013 - Elder Abuse False Claims Act Fraud Nursing Homes Penalties Quality of Care Standards Whistleblower Protection Policies Whistleblowers Worthless Services Claims

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