The Centers for Medicare and Medicaid Services has posted summary data on the overpayments recovered and underpayments returned through the Recovery Audit Contractor program from its implementation in October 2009 through March 2013. Data are reported by fiscal year. To date, the RAC program has recovered $4.5 billion in overpayments and returned $333.6 million in underpayments. The summary also identified the leading issues investigated in each of the four regions; three out of the four RAC contractors were focused primarily on questions of medical necessity revolving around cardiovascular procedures.
Source: CMS. Medicare Fee-for-Service Recovery Audit Program. April 2013. http://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Recovery-Audit-Program/Downloads/National-Program-Corrections-FY-2013-2nd-Qtr.pdf
Filed under: Benchmarking, Hospitals, Medicare, Posted by Sara Beazley | Tagged: Centers for Medicare and Medicaid Services, CMS, Medical necessity, RAC, Recovery Audit Contractor program |
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