Medicare Audit Reforms Raise Hospital Hopes

By Jeff Overley (January 14, 2015, 4:09 PM EST) -- Newly announced reforms to Medicare billing audits should make overpayment inquiries more fair and further shrink a big backlog of appeals that has created headaches for hospital balance sheets, experts say.

The 20-point plan announced late last month by the Centers for Medicare and Medicaid Services focuses on so-called recovery audit contractors that have recouped billions of dollars in overpayments but have also used aggressive tactics that infuriate providers. Once enacted, the reforms will force RACs to act more quickly, limit their information demands and face discipline for clawing back money without justification.

Changes will take effect gradually as new contracts...

Stay ahead of the curve

In the legal profession, information is the key to success. You have to know what’s happening with clients, competitors, practice areas, and industries. Law360 provides the intelligence you need to remain an expert and beat the competition.

  • Access to case data within articles (numbers, filings, courts, nature of suit, and more.)
  • Access to attached documents such as briefs, petitions, complaints, decisions, motions, etc.
  • Create custom alerts for specific article and case topics and so much more!


Hello! I'm Law360's automated support bot.

How can I help you today?

For example, you can type:
  • I forgot my password
  • I took a free trial but didn't get a verification email
  • How do I sign up for a newsletter?
Ask a question!