On maintaining physical health, Benjamin Franklin famously said, “An ounce of prevention is worth a pound of cure.” The phrase could just as accurately be applied to maintaining financial health when ...

Anesthesia Business Consultants President and CEO Tony Mira discussed upcoming changes to CMS’ Recovery Audit Program and devised a series of recommendations to prepare for the audit and appeals ...

$700 Million in Improper Medicare Payments Saved by CMS Recovery Audit Contractor Program CMS has released a report offering fresh evidence that the recovery audit contractors (RACs) pilot program is ...

Recovery Audit Contractor program changes and how the new Internal Revenue Service rules affect nonprofit hospitals’ collection practices captured the attention of Becker’s Hospital Review finance ...

The primary goal for CMS must be to ensure that corrective actions are in place so that improper payments can be reduced, says GAO. What are the Centers for Medicare & Medicaid Services (CMS) doing to ...

After a lengthy absence, the South Carolina Department of Health and Human Services (“SCDHHS”) announced on September 10, 2024, that its Medicaid Recovery Audit Contractor (“RAC”) program was resuming ...

The Centers for Medicare and Medicaid Services is publishing a proposed rule to help states hire auditors in the Medicaid program. The Centers for Medicare and Medicaid Services is about to publish a ...

In June 2025, Colorado passed a new law that makes significant changes to the state’s Medicaid Recovery Audit Contractor (RAC) program. Colorado has one of the most aggressive RAC programs in the ...

CMS has released a report offering fresh evidence that the recovery audit contractors (RACs) pilot program is successfully identifying improper payments ? $693.6 million has been returned to the ...