decisionhealth Newsletters, Part B News - 2015 Issue 12 (December)
CMS issues RFPs for new recovery auditor contracts.
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Article Overview
This short article summarizes CMS activity related to recovery auditor contracting under the Medicare fee-for-service compliance program. It covers the new RFP process, the number and general focus of contractors, performance expectations for auditors, response timing, and contract modification plans affecting existing agreements. The article is relevant to healthcare compliance staff, revenue cycle teams, coding and auditing professionals, and organizations that track Medicare program oversight and audit administration.
Why This Topic Matters
Updates to recovery auditor contracts can affect Medicare audit operations, compliance workflows, and organizational preparedness for review activity. Readers who monitor CMS program changes may need this information to understand timing, contractor structure, and oversight developments.
What You Will Learn
- The scope of CMS’s recovery auditor contracting update
- How the program structure is being adjusted at a high level
- What operational timing and contract-transition issues are mentioned
- Which organizations and stakeholders may need to track the update
Who Should Read This
- Compliance professionals
- Medical coders
- Medical auditors
- Revenue cycle managers
- Healthcare administrators
- Medicare providers
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