tci Part B Insider - 2006 Issue 10

AUDITS: Now Medicare 'Bounty Hunters' Will Receive Payment For Rescuing Yours

P4P train 'has left the station,' CMS saysIf you thought you were safe from the Recovery Audit Contractors (RACs)--it's time to start worrying again.Congress appointed the RACs to investigate claims in Florida, California and New York, and they get paid based on how many overpayments they find. The RACs had been focusing on hospital claims, but now they're turning their attention toward physician claims. Good news: The Centers for Medicare & Medicaid Services changed the rules for the RACs, CMS officials reassured the Practicing Physicians Advisory Council at its March 6 meeting. Now instead of just receiving...

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