In a new survey, 40 percent of healthcare compliance professionals said their budgets are increasing in 2011, partly due to stepped-up activity by recovery audit contractors as well as more regulatory oversight to come, according to a release by Compliance…

Anthem Blue Cross has become the second major California insurer to alter plans for rate hikes following discussions with State Insurance Commissioner Dave Jones, according to a release by Commissioner Jones.

Elizabeth Lamkin, CEO of Pace Healthcare Consulting in Hilton Head, S.C., identifies three common coding problems that recovery audit contractors often identify.

Y2K came and went, and it was quite a letdown for the "gloom and doomers." Amidst the hype, it seemed like Y2K would have a huge impact on many aspects of our daily lives, but the clock struck 12:01 on…

Demands for necessary documentation of claims by recovery audit contractors can expose lack of alignment between a hospital and its on-staff physicians, according to a RAC Monitor column by Leo Paul D’Orazio. Hospital claims are based on medical records created…

State Medicaid programs, which are often slow to pay claims, have been speeding up payments before enhanced federal payments are phased out, according to a report by USA Today.

A recent report by Standard & Poor's indicates that the average per capita cost of healthcare services covered by commercial insurance and Medicare programs increased by 6.29 percent over the 12 months ending Jan. 2011, according to an S&P news…

A Nebraska bill that won first-round legislative approval would use recovery audit contractors to try to reduce costs for the state budget, according to a Bloomberg Businessweek report.

Hospital need to restructure themselves to reduce claims denials by recovery audit contractors, says Elizabeth Lamkin, CEO of Pace Healthcare Consulting in Hilton Head, S.C. Here she offers nine ways to add or change committees, enhance reporting and create new…

Saying the individual health insurance market is "broken," Blue Shield of California has abandoned a proposal to raise individual premiums by as much as 86.5 percent, according to Blue Shield release.