Healthcare providers billing Medicare will come under greater scrutiny now that Congress has extended the recovery audit project and is expanding it to all states. Currently, the project is a demo operating in California, Florida, and New York. Its aim is to identify and collect inaccurate Medicare overpayments and underpayments using six specialized Recovery Audit Contractors (RACs).

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December 15, 2006 - Table of Contents

NIR December 15, 2006 (full PDF issue)

Pathology Escapes SGR Fee Cut, but Not Other Reductions

CMS Finalizes 2007 Lab Fee Schedule

‘Grandfather’ Protection Extended for Pathology TC Billings

What’s Ahead for Clinical Labs, Pathologists in ’07? A Quick Guide to Key Medicare Policy Changes

New Practice Guideline for HER2 Testing for Breast Cancer

New Waived Tests & Billing Codes

Medicare Recovery Audit Project to Go Nationwide

After Contentious Struggle, FDA Gets Permanent Head