Recovery Auditors looking at your inpatient admission documentation
Supreme Court ruling on ACA: Status quo for now, long term physician concern is impact on reimbursement
Medicare’s Recovery Auditors (formerly known as RACs) are looking at the medical necessity of your inpatient admissions.
RACs looking at syncope and collapse prepayment audits
On June 28th, the Supreme Court issued a 5-4 majority opinion upholding the health care reform law's (ACA) individual mandate.
Primary care docs to get Medicaid pay boost
– Medicare' s Recovery Audit Contractors are setting their sights on syncope and collapse claims.
RACs target Lancaster physician office coding
– Primary care physicians would receive reimbursements for Medicaid equal to what Medicare pays in a two-year "fix" mandated by the health care law, HHS says in a proposed rule
Majority of new ACOs are physician-led organizations
– Medicare’s Recovery Audit Contractors (RACs) are looking at your in-office claims and are recouping reimbursement if they don’t like how your services have been coded. In fact, LG Health has received 48 RAC requests for physician records for dates of service April 2008 to December 2010.
ICD-10 gets 2014 deadline
– Twenty seven health systems have been selected to participate in Medicare’s Shared Savings Program, known as “accountable care organizations (ACO).”
Your claims on the “RAC”
– The timeline for healthcare organizations to convert to the ICD-10 coding system will likely be delayed one year--to Oct. 1, 2014
Health Reform hits Main Street
– If you haven’t heard the term “Recovery Audit Contractor” or RAC, that will likely change soon.
Confused about how the new health reform law really works? This short, animated movie produced by the Henry J. Kaiser Family Foundation explains the problems with the current health care system, the changes that are happening now, and the big changes coming in 2014.