Tag: recovery audit contractors

WASHINGTON - Recovery audit contractors identified and corrected nearly $441 million in improper payments in Fiscal year 2015—a decrease of 82.8% compared to 2014.In a new report to Congress, “Recovery Auditing in Medicare Fee-For-Service for Fiscal year 2015,” CMS attributes the decrease to the prohibition on the RACs performing patient status reviews on inpatient hospital claims. Collections on inpatient claims were $2.02 billion in FY 2014 compared to $225.18 million in FY 2015.The...

WASHINGTON - Recovery audit contractors identified and corrected nearly $441 million in improper payments in Fiscal year 2015—a decrease of 82.8% compared to 2014.In a new report to Congress, “Recovery Auditing in Medicare Fee-For-Service for Fiscal year 2015,” CMS attributes the decrease to the prohibition on the RACs performing patient status reviews on inpatient hospital claims. Collections on inpatient claims were $2.02 billion in FY 2014 compared to $225.18 million in FY 2015.The...

WASHINGTON - A new report from the Office of Inspector General (OIG) says that while CMS took corrective actions to address the majority of the vulnerabilities it identified, the agency did not evaluate the effectiveness of these actions.“As a result, high amounts of improper payments may continue,” the report states.The OIG found that, of 2.6 million claims reviewed in 2010 and 2011, the RACs identified 1.3 million as having improper payments—at a cost of $1.3 billion.During those...