With auditors beginning the process of conducting more advanced audits in CMS' Recovery Audit Contractor program, some industry experts speculate that RACs will try to sniff out evidence of “upcoding.

As health plans attempt to measure the acuity of new patients through the Affordable Care Act’s healthcare marketplace exchange, hospital audit teams will see a huge influx of commercial risk ...

Connolly Healthcare has announced the first issues approved for complex RAC review, so providers in several RAC Region C states could begin seeing medical record documentation requests at any time.