Medicare Recovery Audit Contractor Jobs

CMS Certifies Craneware To Offer EsMD Gateway Services On ...
CMS Certifies Craneware to Offer esMD Gateway Services on Executive Insight efficiency of audit defense, including Medicare Recovery Audits (formerly RAC) and Medicare Administrative Contractor (MAC) audits. RESOURCES JOBS PRODUCTS EVENTS COMMUNITY. ... Content Retrieval

FEDERAL PRIORITIES - GLI Advocacy
Recovery Audit Contractor - GLI supports the repeal or reform of the overly-complex Recovery Audit Contractor claims and appeals review process. Proposed replacements would include a flat retainer fee, similar to other Medicare contractors. Reforms or repeal of RAC’s would relieve a significant administrative ... Visit Document

STATEMENT OF TED DOOLITTLE DEPUTY DIRECTOR FOR POLICY CENTER ...
The Medicare FFS program represents the majority of Medicare spending, with contractor management is handled by the CMS component with primary responsibility Contractors, Zone Program Integrity Contractors, and Recovery Audit Contractors. A ... Doc Viewer

TREASURY INSPECTOR GENERAL FOR TAX ADMINISTRATION RECOVERY ACT
Inspector General for Tax Administration is required to monitor the IRS implementation of Recovery Act provisions, and this audit was conducted to meet those requirements. This review was performed in the IRS HCTC Program Office in Washington, D.C., and the contractor site in Reston, Virginia, during the period May through December 2009. We ... Fetch Full Source

1.0 PURPOSE/SCOPE - Performant Financial Corporation
3.10 As a Medicare Recovery Audit Contractor (RAC) the Company will submit to clients, as required, its Code of Business Ethics and Conduct procedures (for its internal employees and to its subcontractors). ... View Full Source

Health Law Partners Warn Of Increased Medicare Auditing ...
Medicare Recovery Audit Contractor (RAC) Program. Written by Abby Pendleton, Esq. Best Cities For Technology Jobs San Diego News Shoot-Out Health Law Partners Warn of Increased Medicare Auditing Activity - Forbes.com ... Doc Retrieval

Maximus Inc. - Wikipedia
MAXIMUS Inc., trademarked as MAXIMUS, bringing 500 local jobs to upstate New York and Pennsylvania, including more than 325 jobs in Pittsford, NY and more than 125 jobs to Scranton, PA. June 2012- Through an internal privacy audit, Maximus discovered that a worker in Canada illegally ... Read Article

Retirement - Wikipedia
Audit; Capital budgeting; Credit rating agency; Risk management; Financial statements; Retirement is the withdrawal from one's position or occupation or from one's active working life. although in the United States many people retire before they become eligible for Medicare at age 65. ... Read Article

The Coding Challenge And Revenue In 2013 - Manpower
The Coding Challenge: Retaining Coders and Revenue in 2013 3 Recovery Audit Contractor (RAC) Program. The program uses an automated system • Learn an entirely new way to do their jobs. The CMS has provided General ... Read Full Source

Statement By Tim Wolters MO, MO
Statement by Tim Wolters While the loss of jobs, inpatient beds, and a 24‐ hour emergency department are all significant, we are trying to find the most Finally, the recovery audit contractor (RAC) program has consumed extensive hospital ... Retrieve Content

Sample Maintenance Audit Report - Lifetime Reliability
Sample Maintenance Audit Report.docx Your Company Name Page 1 of 19 Sample Maintenance Audit Contractor Management 38% Budgeting and Cost Control 45% planned jobs specify safety, labour, materials, tools, technical details ... Content Retrieval

Blue Cross Medicare Advantage
Blue Cross Medicare Advantage and Blue Cross Medicare Advantage Dual Care plans are HMO, HMO-POS, PPO, and HMO Special Needs Plans provided by Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an independent licensee of the Blue Cross and Blue Shield Association. HCSC is a Medicare Advantage organization with a ... Visit Document

A New Model For Effective Revenue Cycle Modernization
The Recovery Audit Contractor (RAC) program, is most often the Centers for Medicare and Medicaid Services intends that only half of its A new model for effective revenue cycle modernization White paper Page 2 optum360.com ... Document Viewer

Have You Received A Letter From CMS Requesting Records For ...
CMS is currently performing pre-payment audits on random visits. Check out this video explanation and checklist with Dr. Mario Fucinari (Illinois' chiropractic representative to the Medicare ... View Video

Contract With America - Wikipedia
The Contract with America was a document released by the United States Republican Party during the 1994 Congressional election independent auditing firm to conduct a comprehensive audit of Congress for waste, fraud or abuse; capital-gains cuts and indexation, neutral cost recovery, ... Read Article

Senior Consultant, Risk Adjustment Solutions (1099 ...
Senior Consultant, Risk Adjustment Solutions (1099/Independent Contractor) The Senior Consultant of Risk Adjustment Solutions is responsible for the execution and oversight of risk adjustment consulting services for both managed care and provider practice clients. With demonstrated and proven success within Medicare Advantage and Commercial ... Access Doc

Coder Productivity Benchmarks - Www.hcpro.com
2 Coder Productivity Benchmarks: A Special Report Dear reader, Establishing coder productivity standards can be difficult because you must take various factors into account, Responding to recovery audit contractor requests ... Retrieve Here

Pain Management Drug Testing AUDIT Request For Quotation
Pain Management Drug Testing AUDIT . Request for Quotation . December 12, 2014 66,000 are enrolled in the indemnity plan and 30,000 Medicare retirees PEIA desires to have auditing and recovery services to ensure that the Agency pays only covered services for truly ... View This Document

Table Of Contents - Office Of Inspector General
Medical training to put us on the road to a healthy recovery. The Federal Government also places enormous trust in physicians. Medicare, Medicaid, and other Federal health care programs rely on physicians’ medical judgment to treat beneficiaries with appropriate services. When reimbursing physicians ... Read Document

Hourly Labor Rate Worksheet - California State University
Medicare Federal Unemployment California Unemployment Small Tools (print name) (these rates are subject to audit) in accordance with the provisions of CGCs, under 'Change Orders'. In order to confirm an hourly labor rate worksheet, a signed Fringe Benefit Statement is required. ... Retrieve Document

RAC Changes Could Leave Providers Susceptible - Craneware
RAC Changes Could Leave Providers Susceptible CMS anticipates Recovery Audit Contractor automated reviews will begin You can survive a Medicare audit with the first hand advice provided during the 90-minute audioconference. Our experienced consultant ... Access Full Source

Qualified Medicare Beneficiary Program
Qualified Medicare Beneficiary Program Background Information The Qualified Medicare Beneficiary (QMB) program is a Federal benefit administered at the State level. United States or any of their duly authorized representatives for audit purposes. H. To furnish upon request to the Medicaid ... Access Document