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About This Section

Recovery Audit Contractors: Not Just an Experiment Anymore

The Medicare Modernization Act of 2003 requires the Centers for Medicare and Medicaid Services (CMS) to perform a pilot test of Recovery Audit Contractors (RACs), which helps recover what has been estimated as $10.8 billion in Medicare overpayments and underpayments each year. This initiative started as a three-year demonstration project in California, Florida, and New York—and, as a result of its success, the project is currently being expanded.
Read More

05-12-2008

Medicare & Regulatory Issues Current News
Title Category Date
3 Things to Know About "Tamper Resistant" Prescription Pads Medicare & Regulatory Issues 03-31-08
Third Annual Medicare Contractor Provider Satisfaction Survey (MCPSS) Medicare & Regulatory Issues 03-25-08
CMS Announces Expansion of Coverage of CPAP for OSA Medicare & Regulatory Issues 03-21-08
New CMS Claims Approval Policies Underscore the Importance of Verifying NPPES Data Medicare & Regulatory Issues 03-11-08
Important Changes to Advanced Beneficiary Notice Process Medicare & Regulatory Issues 03-10-08
April 1 Deadline Approaches for Required Use of Medicaid Tamper-proof Prescription Pads Medicare & Regulatory Issues 02-21-08

CMS Releases Medicare Provider Satisfaction Survey Results

The Centers for Medicare and Medicaid Services (CMS) has released the results of its second annual provider satisfaction survey of Medicare fee-for-service contractors who pay more than $280 billion in Medicare claims each year. View the results.

View the MedLearn Matters article to learn more.

Neurology Medicare Carrier Advisory Committee (NeuroCAC)

CMS mandates that each Medicare carrier have a Carrier Advisory Committee (CAC) in every state to help with payment and policy issues.

CAC representatives assist in drafting Medicare Local Coverage Determinations (LCDs). To search and view carrier LCDs, visit the CMS website.

Read a question-and-answer document about the NeuroCAC in the May 1, 2007, issue of Neurology Today.

Compliance Program Guidance

Neurologists interested in the typical regulatory requirements that their offices must meet can review the compliance program laid out by the Office of Inspector General. The guidance (PDF) is targeted at solo and small group physician practices.

For More Information
Katie Kuechenmeister

Senior Administrator, Medical Economics
kkuechenmeister@aan.com
(651) 695-2783

Additional Resources
  • How to Appeal Medicare Claim Denials
  • Contact Congress About Medicare
  • New Pharmaceutical Guidelines
  • Tip sheet: Medicare Drug Coverage Under Medicare Part A, Part B and Part D
  • Recovery Audit Contractors
  • 2008 Medicare Fee Schedule RVU and Dollar values
  • Medicare Participation Options for Physicians (.pdf)
Related Areas
  • AMA Third-Party Intrusion
CMS Resources
  • 2008 Part B Competitive Acquisition Program Drug List (.pdf)
  • The Medicare Appeals Process: Five Levels to Protect Providers, Physicians and Other Suppliers (.pdf)
  • CMS Tip Sheet for New Enrollment Process (.pdf)
  • CMS Listservs Information (.pdf)
  • CMS Listservs Sign Up
  • Medicare Learning Network
  • CMS Competitive Acquisition Program (CAP) for Part B Drugs
  • View the NPI Registry
  • Download the NPI File
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