AUDITS: Medicare 'Bounty Hunters' To Receive Payment For Reconnaissance

Why This Topic Matters

It highlights Medicare audit and payment-policy changes that may affect how claims are reviewed, how providers are reimbursed, and what operational costs practices may face.

Article Sections

1. Recovery Audit Contractors and physician claims

   Overview of Medicare audit activity, including the role of Recovery Audit Contractors and the shift in their focus toward physician claims and certain service categories.

2. Pay-for-performance concerns

   Discussion of CMS pay-for-performance developments, provider concerns about implementation costs, measurement questions, and possible longer-term reimbursement effects.