Robert Saltaformaggio

Are Your Outpatient Therapy Claims Ready For Manual Medical Review by a Medicare RAC?

Medicare, Medicaid & Private Payor Updates /

(September 5, 2013): Since April 1, 2013, Medicare’s Recovery Audit Contractors (RACs) have been conducting manual medical reviews for all Medicare Part B therapy services that exceed a $3,700 threshold. There has been some early confusion on behalf of outpatient therapy providers, and the Centers for Medicare and Medicaid (CMS) have been bombarded with questions […]

Are Your Outpatient Therapy Claims Ready For Manual Medical Review by a Medicare RAC? Read More »

The Recovery Audit Contractor Program Continues to Expand its Medicare Footprint

Medicare, Medicaid & Private Payor Updates /

(November 26, 2012): The Medicare Fee-for-Service (FFS) program consists of numerous payment systems, with a complex network of contractors that process more than one billion claims submitted by more than one million healthcare providers each year.[1] Medicare providers include hospitals, physicians, skilled nursing facilities, labs, ambulance companies, and durable medical equipment, prosthetics, orthotics, and supplies

The Recovery Audit Contractor Program Continues to Expand its Medicare Footprint Read More »