Welcome to CBIZ KA Consulting Services, LLC

RACs Are Delayed: Your Exposure Is Not

On Monday, November 3, 2008, The Centers for Medicare & Medicaid Services announced a delay in the national, permanent RAC implementation due to a protest filed by two vendors who were not selected as part of the permanent RAC program.

CMS issued a statement stating that it is postponing all activity involving the four permanent Medicare recovery audit contractors due to a “RAC protest and stay of performance.”   Provider education “outreach” sessions that had been scheduled through December 2008 have been delayed until further notice.  

The protests were filed with the GAO by vendors who were not selected as RACs have protested the selection process.  The progress of the protests can be tracked on the GAO website: http://www.gao.gov/decision/docket. 

As of now, the hearing dates for the appeals are Feb. 9 and Feb. 11.  Although CMS has already delivered provider data to the RACs, there cannot be a resumption of RAC activity until the adjudication of the hearings (unless the parties drop their bid protests). 

CBIZ KA Consulting Services, LLC (CBIZ) advises providers to continue their RAC preparation efforts.  This delay does not constitute a suspension of RAC services but merely an appeal for vendor selection.  The RAC program will continue.

Another factor to consider is that the look-back period for the RAC remains Oct 1, 2007; hospitals that delay their preparation will face significant challenges in effectively mitigating their RAC risk and reviewing their at-risk cases

For any additional information, please contact  Dennis Jones  at 609-918-0990 x 118 or  Adam Abramowitz  at 609-918-0990 x 169

Welcome to KA Consulting Services, Inc.

Experienced Service
Customized Solutions
Enhanced Operations

CBIZ KA Consulting Services, LLC (CBIZ) has been assisting hospitals and healthcare systems with the intricacies of reimbursement since 1978. Throughout our history, we have focused on helping our clients navigate the complexity of both governmental and commercial-payment models with the dual goals of optimizing revenue and achieving compliance. Our extensive knowledge base and years of industry experience provide a blueprint for clinical decision making, data analysis and documentation — the backbone for a successful hospital or health system.

Our unique perspective on operations management puts us in the position to better identify, address and overcome the roadblocks that providers face in achieving appropriate payment and reimbursement. We do not just identify the problem; we provide solutions. We work with all stakeholders, including hospital administrators and directors, government regulators, commercial payors and patients, to improve our clients’ financial performance. We do not believe in a one-size-fits-all approach to consulting, offering instead a customized blending of products and services to fulfill the needs of our clients.

At CBIZ we assist our clients in identifying problems and fixing them. This approach has led to the development of long-term relationships with our clients, many of whom have continued to utilize our services for the last 30 years.

 

CBIZ's Approach to RAC Preparedness

CBIZ's RAC approach is your one-stop shop for your facility's RAC preparedness needs.  Starting with the RAC R4 ReportsTM, a report set which focuses on the specific cases that are likely for RAC recoupments, CBIZ's comprehensive RAC solutions also offer medical and clinical appropriateness reviews, a RAC workflow assessment, RAC tracking software, and on-site and on-line RAC education led by RAC experts.   For more information: click here.