The Center for Medicare
& Medicaid Services (CMS) is planning on making significant changes to the
Recover Auditor Program (RAC) in 2014.
It plans to consolidate all Home Health, Hospice, and DME RAC duties to
a new nationwide RAC. Yes there will be
a new RAC to review Home Health, Hospice and DME claims.
CMS will also require the
RAC auditors to support CMS in the administrative appeals process. This will require the RAC auditors to defend
their denials all the way to federal court if necessary. They will be required to represent CMS at any
hearings if requested by CMS. These new
requirements will hopefully make the RACs act in a more responsible manor,
since the appeal process will require utilization of their resources.
Look for more information
in a future Email Alerts.
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