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CMS looks to claw back billions in overpayments to Medicare Advantage plans.

• Authors : HUT, NICK

Subjects: *AUDITINGCENTERS for Medicare & Medicaid Services (U.S.)

• Source: hfm (Healthcare Financial Management). Mar2023, Vol. 77 Issue 2, p10-11. 2p.

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Majority of Providers Experienced Payer Audits: How to Prepare.

Subjects: *AUDITING; *HEALTH insurance companiesCENTERS for Medicare & Medicaid Services (U.S.) ; UNITEDHEALTH Group Inc. 112871561 UNITEDHEALTH Group Inc. UNITEDHEALTH Group Inc. 112871561 112871561 UNITEDHEALTH Group Inc. 112871561 UNHGRIGSBY, Jim

• Source: Receivables Report for America's Health Care Financial Managers. Mar2019, Vol. 34 Issue 3, p1-11. 3p.

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Two-midnight Rule: Enforcement Update: Scrutiny may intensify.

• Authors : Polston, Mark¹ ; Gennett, Lauren²

Subjects: *AUDITING; *HEALTH insurance reimbursement; *MEDICARECENTERS for Medicare & Medicaid Services (U.S.)

• Source: Dennis Barry's Reimbursement Advisor. May2018, Vol. 33 Issue 9, p1-12. 5p.

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Senate committee report, AHA urge changes to improve audit programs.

Subjects: *AUDITING; *HOSPITALS; *OPERATING companiesUNITED StatesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: AHA News. 7/11/2014, Vol. 50 Issue 14, p1-7. 2p.

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CMS Demonstration Project Utilizes Recovery Audit Contractors (RACs).

• Authors : Hayward, Joanne

Subjects: *MEDICARE; *AUDITING; *MEDICAIDUNITED StatesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Health Care Biller. Jan2008, Vol. 16 Issue 11, p3-5. 3p.

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RACs and the Patient Access Role.

Subjects: *AUDITING; *OVERPAYMENT; *ERROR analysis in mathematicsUNITED StatesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Health Care Registration: The Newsletter for Health Care Registration Professionals. Feb2009, Vol. 18 Issue 5, p1-12. 4p. 2 Charts.

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CMS tells states it wants Medicaid RAC program to take effect April 1.

Subjects: *MEDICAID; *AUDITING; *MEDICAREUNITED StatesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: AHA News. 11/15/2010, Vol. 46 Issue 23, p1-7. 2p.

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RAC rollout delayed.

Subjects: *MEDICARE; *AUDITING; *HOSPITALSUNITED StatesCENTERS for Medicare & Medicaid Services (U.S.) ; AMERICAN Hospital Association AMERICAN Hospital Association AMERICAN Hospital Association 051064566

• Source: AHA News. 11/12/2007, Vol. 43 Issue 23, p1-2. 2p.

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AHA urges CMS to put the brakes on RAC rollout plan.

• Authors : Malamud, Matthew

Subjects: *AUDITING; *HEALTH insuranceUNITED StatesAMERICAN Hospital Association AMERICAN Hospital Association AMERICAN Hospital Association 051064566 ; CENTERS for Medicare & Medicaid Services (U.S.)

• Source: AHA News. 10/29/2007, Vol. 43 Issue 22, p1-3. 2p.

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WASHINGTON UPDATE.

Subjects: *MEDICAL care; *AUDITING; *HEALTH insuranceUNITED StatesCENTERS for Medicare & Medicaid Services (U.S.) ; UNITED States. Dept. of Health & Human Services ; UNITED States. Government Accountability Office

• Source: hfm (Healthcare Financial Management). Apr2012, Vol. 66 Issue 4, p12-14. 3p.

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