tci Part B Insider - 2007 Issue 8

PHYSICIAN NOTES: Medicare Fraud-Hunters Expand Nationwide

Imaging providers fight back against unfair cutsThe Recovery Audit Contractors (RACs) will be coming to your town soon. These so-called -bounty hunters- receive more money if they collect overpayments (or uncover underpayments). Until now, they-ve only operated in three states, but they-ll expand nationwide by Jan. 1, 2010. So far, they-ve collected $69 million, only 6 percent of which came from doctors, CMS officials told the March 5 Practicing Physicians Advisory Council meeting. Because such an insignificant part of the RACs- bounty came from doctors, PPAC voted to urge CMS to instruct the RACs to focus only on hospitals...

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