Recovery Audit Contractors

October 1, 2018

CMS Revises Instructions for Statistical Sampling

The Centers for Medicare & Medicaid Services(CMS) has issued Change Request (CR) 10067 which revises instructions to the CMS medical review contractors (Medicare Administrative Contractors (MACs), the Recovery Audit Contractors (RACs), the Supplemental Medical, Review Contractors (SMRCs), and the Unified Program Integrity Contractors (UPICs)) on the use of statistical sampling for overpayment estimations. The revised…

Are you a Member of NAHC?

Become a member or sign in and read full NAHC Report articles at your leisure. Membership is affordable even if you're a small business and it comes with a lot of other benefits.

September 26, 2018September 26, 2018

CMS Stipulates Credentials of Medical Reviewers

The Centers for Medicare & Medicaid Services (CMS) released Change Request 10909, which requires that the Medicare medical record review contractors ensure medical review audits are conducted by registered nurses, therapist or physicians. The requirement applies to the Medicare Administrative Contractors (MACs), the Comprehensive error Rate Testing Contractors (CERT), the Recovery Audit Contractors (RACs), the…

Are you a Member of NAHC?

Become a member or sign in and read full NAHC Report articles at your leisure. Membership is affordable even if you're a small business and it comes with a lot of other benefits.