What To Know About CMS' Recently Proposed Rule

Law360, New York (April 15, 2013, 1:48 PM EDT) -- Recovery audit contractors (RACs) and other Centers for Medicare & Medicaid Services contractors are charged with identifying overpayments made by Medicare to health care providers. However, with the increase in RAC and other government audits, it is clear that the Medicare appeals staff have had to manage a significantly larger volume of cases than anticipated, especially concerning appeals regarding the medical necessity of hospital inpatient admissions payable under Medicare Part A.

We understand that hospitals are struggling with the financial impact of managing these audits and...
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