News & Analysis as of

Audits Healthcare MACs

Sheppard Mullin Richter & Hampton LLP

Enforcement of the Two-Midnight Rule Delayed Again

Last week President Obama signed into law a measure to extend Medicare physician pay rates for one year and to extend the enforcement delay of the “Two-Midnight” rule through March 2015. Medicare Recovery Audit Contractors...more

Baker Donelson

CMS Posts Guidance on Two-Midnight Rule and Related Audits

Baker Donelson on

On February 24, 2014, CMS posted a list of updates to its guidance on the new Two-Midnight Rule and the Probe and Educate Audits. Several of the more major updates are discussed below....more

Baker Donelson

A Calm Before the Storm: Updates on CMS Audit Activity

Baker Donelson on

In February 2014, CMS made two announcements that affect future Medicare audits. First, CMS instructed RACs to stop issuing post-payment additional documentation requests (ADRs) after February 21 and instructed MACs to stop...more

King & Spalding

CMS Announces Transition Process for RAC Contracts

King & Spalding on

On February 18, 2014, CMS announced that it is in the procurement process for the next round of Recovery Audit Contractor (RAC) program contracts and that the transition to new contracts will include a pause in RAC audits in...more

Baker Donelson

CMS Issues Additional Guidance Related to 2-Midnight Rule

Baker Donelson on

Earlier this month, CMS posted three new documents related to the 2-midnight rule for inpatient admissions on its webpage for inpatient hospital reviews: new FAQs, as well as CMS directions for selecting hospital claims for...more

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