Medicare Compliance & Reimbursement

Industry Note:

RACs Could Face Limits Very Soon

CMS is reining in its Recovery Audit Contractors (RACs) somewhat, but it may not stay that way. Starting in January, CMS is establishing Additional Development Request limits for RACs based on a provider’s compliance with Medicare rules, CMS notes on its RAC web page. “Providers with low denial rates will have lower ADR limits while providers with high denial rates [...]
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