Health Care Enforcement and Compliance Matters Prevention, Compliance, Advocacy

Tag Archives: Medicaid RAC

Do Not Pay: The Government’s Newest Tool

By Frank Sheeder on Posted in Administration, Government Initiatives, Medicaid, Medicare, RACs

In previous posts and presentations, I have emphasized the critical role that data prospecting will play in the government’s efforts to prevent health care fraud, waste and abuse.  Here’s further support for the proposition.   The Office of Management and Budget has created a new tool called Do Not Pay.   It is complemented by a… Continue Reading

The Mixed-Up Audit MICs

By Frank Sheeder on Posted in CMS, Enforcement, Government Initiatives, Medicaid, OIG, RACs, Uncategorized, Waste

The Department of Health and Human Services – Office of Inspector General (HHS-OIG) recently released a report entitled Early Assessment of Audit Medicaid Integrity Contractors.  The OIG assessed the efforts of the Audit Medicaid Integrity Contractors (Audit MIC) to identify overpayments in Medicaid.  The findings show that the audit process was broken and resulted in… Continue Reading

Medicaid RACs Will Soon Spring to Life: Another Head Grows on the Hydra of Government Oversight and Inquiry

By Frank Sheeder on Posted in Government Initiatives, Medicaid, RACs, Reform

Here is a good summary of the new Medicaid RAC regulations.  Thanks to my colleague Becca McKnight for putting it together.  The original appears on DLA Piper’s Health Care Law Matters Blog. Contributed by Frank E. Sheeder III and Rebecca Jones McKnight as part of our ongoing Fraud & Abuse Matter series. Health care providers may… Continue Reading