RACMonitor.com Recovery Audit Contractors RAC News and Informations Services

• Return on CMS Investment in Two Medicaid Integrity Programs Lacking

    Two Medicaid integrity programs aimed at assisting states to root out fraud "are not effectively accomplishing their missions," an Office of Inspector General official testified June 14 in front of a Senate subcommittee.

• Don’t Let Laziness Make You a Criminal

  While we continuously read articles about the next big fraud scandal in healthcare, we can't help but wonder, "What were they thinking?" Just last month we saw 107 individuals charged in more than a half-dozen cities for claims totaling $452 million1. Fraud allegations ranged from submitting false billing for home healthcare,...

• Post-acute MS-DRG Transfers: The Risk Could Transfer Back to You

  Transfer MS-DRGs were an outgrowth of the federal Balanced Budget Act of 1997. For some MS-DRGs, special rules were created for patients who are discharged immediately, following hospitalization, to post-acute care facilities (i.e.. rehab hospitals, skilled nursing facilities, long-term care hospitals or home health care).

ICD10monitor.com News and Information Services for Successful ICD-10 Implementation

ICD10monitor - ICD10monitor, a division of RAC Monitor, LLC, is an online news and information source created to help healthcare providers make informed decisions as they transition to ICD-10, a process mandated by Congress under the auspices of the U.S. Department of Health and Human Services (HHS) and administered by the Centers for Medicare & Medicaid Services (CMS).

• Alice’s Return

  Here’s a scenario: You wake up one morning and look out the window to see that your neighbors all have red grass on their lawns. Must have happened while you were sleeping, right? Then you chat with your neighbors on either side – and the one across the street – and find that there are lots of advantages to red grass: it’s cooler in the summer, cuts better (even with a dull mower), doesn’t turn brown during droughts (as if anyone would notice) and provides protection against all manner of pests, including bugs, gophers and bureaucrats! Who knew? So, being the smart person...