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Recovery Auditor Report

The Recovery Auditor Report is a free biweekly e-newsletter of useful tips and strategies to get you prepared for the arrival of Medicare's Recovery Audit Contractors (RACs).

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Recovery Auditor Report

Issue 9, May 17, 2012

• Recent OIG reports show critique on CMS' processes and programs

  During the past few months, there have been a number of Office of Inspector General (OIG) reports...

• Revenue Cycle Institute posts free monthly tool

  Each month the Revenue Cycle Institute publishes a free sample tool or form for readers.

• Recent Recovery Auditor activity

  DCS Healthcare posts one new issue into two categories

• Medicare rules change frequently

  With a year subscription to the Medicare Boot Camp for Hospitals Quarterly Update Service, you will...

Issue 8, May 3, 2012

• CMS issues IPPS proposed rule for FY2013

  Inpatient acute care hospitals could see a 2.3% increase in payment rates under the fiscal year...

• Recent Recovery Auditor Activity

  CGI posts new issue for medical necessity claims  

• 2012 broadcast events program calendar

  Take a look at all of the different programs that HCPro has to offer this year in its 2012...

• HCPro's 2012 Medicare Compliance Forum

  HCPro and the Revenue Cycle Institute team are proud to announce the 2012 Medicare Compliance Forum.

Issue 7, April 19, 2012

• Recovery auditor hot topics: Audit MICs struggling to identify overpayments

  On March 20, the Office of Inspector General (OIG) issued a report that presents an early...

• New! Revenue Cycle Institute releases 2012 Three-Day Rule White Paper

  The Revenue Cycle Institute has released a new white paper, “Mastering the Three-Day Payment...

• Revenue Cycle Institute posts free monthly tool

  Each month the Revenue Cycle Institute publishes a free sample tool or form for readers.

• One-year delay of ICD-10-CM/PCS proposed from HHS

  HHS released a proposed rule yesterday that announces a one-year delay for the implementation of...

• Recent Recovery Auditor activity

  DCS Healthcare posts eight new issues across four categories

Issue 6, April 5, 2012

• CMS to resolve incorrect claims processing issue for 12X and 13X bill types

  On February 24, CMS sent out an update informing providers that it has identified a Medicare claims...

• CMS requires the creation of improper payment edits

  In early March, CMS released two related transmittals that rescinded prior transmittals.

• Recent Recovery Auditor activity

  DCS Healthcare posts three new issues across two categories

• Three-day payment window explained

  Join HCPro on Tuesday, April 17, at 1 p.m. (Eastern) for the 90-minute live audio conference...

Issue 5, March 22, 2012

• Recovery auditor hot topics: Medicaid RACs

  The following article is part two in a series covering various topics in the world of recovery...

• Recovery Auditors to increase medical records request limits

  On March 12, CMS issued an update that effectively raises the additional documentation requests...

• From the field: CMS Q&A on the discussion period

  After reading about another provider’s Recovery Auditor correspondence woes in a February 23...

• Revenue Cycle Institute posts free monthly tool

  Each month the Revenue Cycle Institute publishes a free sample tool or form for readers.

• Recent recovery auditor activity

  CGI posts three new issues across two categories

Issue 4, March 8, 2012

• Recovery auditor hot topics: esMD

  The following article is part one in a series covering various topics in the world of recovery...

• Q&A with Debbie Mackaman: Recovery auditors and more

  What type of impact do you think the newly announced demonstration project for recovery auditor...

• Recent recovery auditor activity

  HealthDataInsights posts 10 new issues for medical necessity claims

Issue 3, February 9, 2012

• Start date announced for recovery audit prepayment review demo

  On November 15, 2011, CMS unveiled three demonstration projects aimed at reducing improper payments...

• CMS posts year-end improper payment figures, top issues by region

  On February 9, CMS posted its latest recovery auditor update. The results show a continuing trend...

• Recovery audits result in changes to CMS systems and recoupment options

  This week CMS published two transmittals that affect CMS systems as a result of the recovery audit...

• New! Revenue Cycle Institute releases 2011 Recovery Auditor Benchmarking Report

  The Revenue Cycle Institute has released a new white paper

• Recent recovery auditor activity

  Connolly adds 17 new issues across five categories

• From the field: Recovery auditor correspondence troubles

  A provider in Region C has recently experienced problems with Connolly (The Region C recovery...

• Medicare Membership Program

  Get answers to your questions and Medicare compliance guidance from the experts all year long.

• Recent recovery auditor activity

  DCS Healthcare posts new issue for DME supplier claims

Issue 2, January 26, 2012

• CMS posts Q4 improper payment figures, top issues by region

  Each quarter CMS issues a recovery audit program update that details the total amount of...

• CMS posts new quarterly provider compliance newsletter

  In its most recent (January 20) Medicare Quarterly Provider Compliance Newsletter, CMS once again...

• From the field: The demand letter problem grows

  A RAC coordinator at a hospital in Region B (who wished to remain anonymous) shared one of her...

• Recent RAC activity

  DCS Healthcare posts 25 new issues for medical necessity claims

Issue 1, January 12, 2012

• CMS to delay two of out three new demonstration projects aimed at reducing improper payments

  On December 29, CMS issued a notice announcing the delay of the recovery audit prepayment review...

• From the field: Chasing clues on demand letters

  A RAC coordinator at a hospital in Region C (who wished to remain anonymous) shared one of her...

• Revenue Cycle Institute posts free monthly tool

  Each month the Revenue Cycle Institute publishes a free sample tool or form for readers.

• Recent RAC activity

  DCS Healthcare posts 40 new issues for medical necessity claims