Tag: Contractor
GAO clears way for Connolly
April 9, 2015HME News Staff
WASHINGTON - CMS will likely move forward with Connolly as its contractor for the new national RAC for DMEPOS, home health and hospice, according to industry consultant Andrea Stark.
In its bid protest docket, the Government Accountability Office lists two protests filed by Performant Recovery on Jan. 6 and Feb.17 as dismissed. This means the protests had a technical or procedural flaw, such as timeliness or jurisdiction, or the agency has taken corrective action that addresses the protests, according...
CMS pauses new RAC audits
February 21, 2014Liz Beaulieu, Editor
WASHINGTON - Industry stakeholders caution HME providers against putting too much stock in CMS's announcement last week that it will not initiate new audits as it transitions to new recovery audit contractors (RACs).
“Essentially, this is common that a contractor slows down their new workload so they can finish it out before their contract ends,” said Wayne van Halem, president of The van Halem Group. “So, unfortunately for the DMEPOS industry, I believe it's just the...
O&P advocates launch auditing initiative
January 29, 2013HME News Staff
WATERLOO, Iowa - Orthotic and Prosthetic Group of America (OPGA) is spearheading a new initiative designed to help independent orthotic and prosthetic practitioners fight for “greater transparency and oversight of CMS independent audit contractors,” according to a press release. The initiative, called “Speak4OandP,” is an online platform for orthotic and prosthetic practitioners to tell their stories about the negative impact audits are having on business, the release...
Medicare audits: Just how bad are they?
August 24, 2012Jeffrey Baird
Editor's note: This is the last in a series of commentaries on audits. Go to www.hmenews.com for previous commentaries.
No matter how you look at it, the contractors are out of control. Examples include: instructions by a ZPIC to the four DME MACs to suspend payments to a supplier because the ZPIC is dissatisfied with the supplier's documentation and because the ZPIC asserts (without substantiated evidence) that the supplier is violating the telephone solicitation statute; placement of...