04/26/2018

Recent RAC Monitor Articles

This edition includes articles on......

Recent RAC Monitor articles you may find informative...

Auditors Going from Targeting Just Physicians to Targeting Physicians and NPPs

By Frank D. Cohen, MPA, MBB
There are now 200,000 new targets for CMS and private payers. Since the first of this year, I have engaged in several audits for which the target is not the physician, but rather a physician’s assistant (PA) or a nurse practitioner (NP). While there have always been audit issues regarding…READ MORE

 Exclusive: Medicaid: The State of the Union

By Knicole C. Emanuel Esq.
The latest and greatest in Medicaid news, state by state. While Medicare is a nationwide healthcare insurance program, Medicaid, the government-funded health insurance for the poor and developmentally disabled, is state-specific, generally speaking. The backbone of Medicaid is federal; federal regulations set forth the minimum requirements that states must follow.…READ MORE