Wednesday, May 7, 2014

RAC Recoveries Fall As Two-Midnights, Program Pause Implemented

RAC Recoveries Fall As Two-Midnights, Program Pause Implemented-insidehealthpolicy: Medicare Recovery Audit Contractor recoveries fell from a high point of $1.4 billion in the last quarter of fiscal 2013 down to $665 million in the second quarter of 2014 after the two-midnights rule -- and the subsequent enforcement delay -- barred the contractors from looking into short hospital admissions, CMS data show. While a coalition of RAC stakeholders say recoveries will only continue to shrink as CMS' program pause is taken into account, hospital officials say they expect the RACs will look back at claims when the pause ends.