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RAC Pay Timing to Be Affected by Appeals in 2016 (Healthcare Financial Management Association)

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(Source: Healthcare Financial Management Association) Other changes to existing contracts include reductions in the percentage of a provider's Medicare claims for which RACs can request documents. Nov. 10-Recovery audit contractors (RACs) will face new limits on the timing of their payments under changes meant to address the deluge of appealed short-stay inpatient claims. The Centers for Medicare& Medicaid Services (CMS) recently secured new RAC contracts to replace existing contracts, which were extended until July 2016 following the lack of replacement contracts at the original February 2014 expiration date. The current contracts, which began in 2009, pay RACs upon recovery of payment from...

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