On February 18, 2014, in an announcement likely spawned from OMHA’s Appellant Forum one week prior, CMS pressed “pause” on the Recovery Audit Program, noting that a transition period will allow the RACs to complete all outstanding reviews by the time their current contracts expire. CMS further explained that, during this period, the agency will be able to “refine and improve the Medicare Recovery Audit Program” by reviewing the ADR limits, timeframes for review, and communications between the providers and the RACs. CMS outlined three important dates that providers should anticipate:
Although a slow-down under the RACs’ current contracts has been in the works for some time, CMS’ announcement indicates that the agency may be considering providers’ concerns more closely. In fact, “in response to industry feedback,” CMS also announced a number of changes to the RAC Program that it believes will result in a more effective and efficient program. The changes, listed below, will be effective with the next Recovery Audit Program contract awards:
To view the changes, click here.
Please contact the Phelps Dunbar Health Law Group if you have any questions regarding CMS’ recent announcements.