Tuesday, May 13, 2014

CMS RA REPORT TO CONGRESS

Dianne De La Mare

Recovery Audit (RA) contractors returned $1.9 billion to the Medicare Trust Fund in FY 2012, according to a recently released Centers for Medicare & Medicaid (CMS) report, Recovery Auditing in Medicare and Medicaid for FY 2012.

The RA program identified $2.3 billion in overpayments. Taking into account the cost to run the RA program and the costs for the first two levels of the Medicare appeals process, the program still returned just under $2 billion to Medicare.

In FY 2011, the RAs reviewed approximately 887,000 claims; and in FY 2012, the RAs reviewed 1,272,000 claims. Over 91 percent of the overpayments came from inpatient hospital claims according to the report.

To obtain a copy of the complete CMS report CLICK HERE

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