Robert Saltaformaggio

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

Medicare, Medicaid & Private Payor Updates / By

(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 …

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The Recovery Audit Contractor Program Continues to Expand its Medicare Footprint

Medicare, Medicaid & Private Payor Updates / By

(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 …

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