Update: CMS delays RAC permanent program
Recovery Auditor Report, November 13, 2008
By now you know that CMS announced a delay in the Medicare RAC permanent program. But what you may not yet know is that the delay is a result of protests filed with the Government Accountability Office (GAO) by two unsuccessful RAC program bidders (PRG-Schultz USA, Inc., and Viant, Inc.).
The GAO has up to 100 days to make a decision regarding the protests. It has scheduled February 9, 2009 protest hearing for Viant and a February 11 hearing for PRG-Schultz USA, according to the GAO Web site. In the meantime, CMS has announced a delay for all educational and outreach programs scheduled through December.
Despite the delay in the process, Joseph Zebrowitz, MD, executive vice president of Executive Health Resources in Newtown Square, PA, warns facilities not to change anything in terms of preparing for a RAC visit. "Basically, this is infighting amongst CMS potential contractors who are upset that they were not awarded the RAC contract," Zebrowitz says. "[CMS] just can not start when the contractors are in doubt. Once they resolve these complaints, they will start up."
For more information, visit the CMS Web site.
Comments
1 comments on “Update: CMS delays RAC permanent program ”
- Tiger (8/1/2011 at 5:09 PM)
- Heck of a job there, it aboslutley helps me out.
Related Products
-
Briefings on Accreditation and Quality
Briefings on Accreditation and Quality will help you with all of your accreditation and survey preparation needs. Every...
-
The CMS Survey Coordinator's Handbook
There is no reason to struggle with CMS requirements. HCPro has teamed up with former contracted CMS surveyor Jeff Coleman...
-
Medicare Audits in Long-Term Care: A Guide to MACs, RACs, and ZPICs
This book describes the different types of Medicare audits that nursing homes face and helps you take a proactive approach...
-
Combat RAC Denials: Strategies for Successful Appeals
During this 90-minute audio conference, our speakers provide step-by-step procedures, timelines, tools, and best practices...
-
QM Confidence: Put Your Quality and Survey Fears to Rest
During this 90-minute broadcast, our expert speaker will identify the triggering criteria, high risk areas, how MDS-driven...
Most Popular
- Articles
-
- Differentiate between types of wound debridement
- Note similarities and differences between HCPCS, CPT® codes
- OB services: Coding inside and outside of the package
- Know guidelines and subtle differences in code descriptions for laceration repairs
- Don’t forget the three checks in medication administration
- Maryland health system locked out of network by ransomware
- Practice the six rights of medication administration
- Complications from immobility by body system
- What is the difference between an IPA and a medical group?
- Reimbursement for Facility and Professional Services in a Provider-Based Department by Gina M. Reese, Esq., RN
- E-mailed
-
- Dementia care: Nonpharmacological approaches to behavior management
- Inpatient-only procedures: Accuracy helps avoid denials, ensure compliance
- Differentiate between types of wound debridement
- Correctly code for new cardiac, pulmonary rehab benefits
- Correctly bill ancillary bedside procedures in addition to the room rate
- Coding Clinic reiterates guidelines for provider documentation
- Coding Clinic for CDI:Reassessing debridement documentation
- Challenges facing anesthesia coders
- Case study: Automating sepsis alerts at Harborview Medical Center
- Billing related to non-credentialed physicians
- Searched