The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), today announced unveiled the “International Pricing Index” (IPI) payment model to reduce what Americans pay for Medicare Part B prescription drugs.Under the IPI model, described in an Advance Notice of Proposed Rulemaking (ANPRM), Medicare’s payments for select physician-administered drugs would shift to a level more closely aligned with prices in other countries. Overall savings for
Read More
Recovery Audit Contractor (RAC) and MAC: Failure and Success in 2012
By Lori Brocato, Audit Product Manager, HealthPort Lori Brocato, Audit Product Manager, HealthPort writes about the failures and successes of Recovery Audit Contractor (RAC) and Medicare Administrative Contractors (MAC)
The latest CMS figures report nearly $600 million was recouped from healthcare providers in the first quarter of 2012 alone. Added to earlier overpayments, providers have “given back” over $1B since the Medicare Recovery Audit Contractor (RAC) program began.
The success
Read More