Rob Alexander

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Seven VCs’ Tips For Surviving A Due-Dilligence Check In 2017

Investors are more cautious than they used to be, but a higher bar for startup founders means more chances to prove your mettle.<p>Pandas were taken off the endangered species list earlier this year, but unicorns seem to have been added to it lately. VC-backed billion-dollar companies have exited more …

CMS begins new round of recovery audit contracts, says improvements will be seen

January 06, 2015<p>Share this content:<p>Promised RAC improvements could mean more targeted doc requests.<p>Connolly LLC will be the recovery audit contractor …

RAC audit abuse answers vary

December 15, 2014<p>Share this content:<p>John O'Connor<p>It has been more than 2,400 years since Plato demanded to know who will watch the watchmen.<p>The …

Recovery audit lawsuit dismissed by federal judge

A U.S. District Court judge has dismissed a lawsuit by hospitals seeking to compel HHS to meet statutory timelines for processing appeals to recovery …

Hospitals have 70% overturn rate when appealing RAC claims

December 15, 2014 | Print | Email<p>In the third quarter of this year, hospitals appealed 48 percent of all Recovery Audit Contractor claim denials, …

AHA Loses Lawsuit on RAC Appeals

A federal judge has dismissed a lawsuit the American Hospital Association filed against the Department of Health and Human Services after new appeals …

The Size and Scope of Fraud in Medicare

Medicare spends more than $600 billion annually, but not all of that money is spent wisely. Yesterday, I wrote about the <i>Washington Post’s</i> expose on …

Health Care

The Clash Of Politics And Efforts To Control Medicare Waste And Fraud

The Wall Street Journal: Medicare Overbilling Probes Run Into Political Pressure <br>When investigators suspected that Houston’s Riverside General …

Take RAC off the rack, end Obama #amnesty for Medicare fraud

Capitol Hill conservatives are scratching their heads wondering why Republican leaders refuse to address the #amnesty President Barack Obama granted …