logo

Category : News Coverage

Becker’s Hospital CFO: OIG: NorthShore University HealthSystem received $4.1M in Medicare overpayments

OIG: NorthShore University HealthSystem received $4.1M in Medicare overpayments Written by Ayla Ellison  | January 09, 2017  Evanston, Ill.-based NorthShore University HealthSystem failed to comply with Medicare billing requirements for 93 of 190 inpatient and outpatient claims reviewed by HHS’ Office of Inspector General for the audit period of Jan. 1, 2013, through Dec. 31, 2014, according to a recent OIG report. The billing errors resulted in NorthShore receiving $624,638 in overpayments, according to the OIG. Extrapolating from the sample […]

Becker’s Hospital CFO: OIG: Abbott Northwestern Hospital received $8M in Medicare overpayments

OIG: Abbott Northwestern Hospital received $8M in Medicare overpayments Written by Ayla Ellison January 06, 2017  Abbott Northwestern Hospital in Minneapolis, part of Minneapolis-based Allina Health, failed to comply with Medicare billing requirements for 74 of 162 claims reviewed by HHS’ Office of Inspector General for the audit period of Jan. 1, 2013, through Dec. 31, 2014, according to a recent OIG report. The billing errors resulted in the hospital receiving $933,991 in overpayments, according to the OIG. Extrapolating from the […]

Daily Journal: NMMC, UMMC tagged for overpayments in Medicare audits NMMC, UMMC tagged for overpayments in Medicare audits

NMMC, UMMC tagged for overpayments in Medicare audits Posted on January 5, 2017 By Michaela Gibson Morris Daily Journal TUPELO – North Mississippi Medical Center-Tupelo has agreed to repay Medicare $119,000 following the findings of audits of large hospitals around the country. University of Mississippi Medical Center in Jackson, which also was chosen for the Medicare audit of large hospitals, was asked to return $365,000. “Of all the reported audits of hospitals nationwide, NMMC had one of the lowest error […]

Star Tribune: Federal audit seeks $8 million repayment from Abbott Northwestern

Federal audit seeks $8 million repayment from Abbott Northwestern Government says audit found Medicare overcharged; hospital disputes the claim. By Christopher Snowbeck Star Tribune JANUARY 5, 2017 — 9:34PM Federal auditors say Abbott Northwestern Hospital should refund $8 million in estimated overpayments for services that the Minneapolis-based medical center wrongly billed to the federal Medicare program, according to a report released Thursday. Auditors looked at a sample of billing records during 2013-14 and alleged a variety of errors, including bills […]

RevCycleIntelligence: Net Medicare Improper Payment Recoveries Dropped 91% in 2015

Net Medicare Improper Payment Recoveries Dropped 91% in 2015 By Jacqueline Belliveau on December 29, 2016 RACs only returned $141.84 million in net Medicare improper payment recoveries in 2015 because of patient status review and procurement delays, CMS stated. Medicare improper payment recoveries saw a significant drop in 2015, according to a recent CMS report to Congress. The Recovery Audit Contractor (RAC) program returned 91 percent less to Medicare during the 2015 fiscal year compared to 2014. In 2015, RACs […]

The Weekly Standard: Will Recovery Audit Contractors Program Fully Recover Under Trump?

Will Recovery Audit Contractors Program Fully Recover Under Trump? Medicare marshals help save taxpayers billions. 7:39 AM, DEC 14, 2016 | By JARED WHITLEY When the U.S. Federal Marshal system was founded, its mission was to execute all lawful warrants as officers of the courts. The main association with marshals is a lone, Wild West-style lawman, like Wyatt Earp or Rooster Cogburn, but the program was started by George Washington and continues to this day. Many people still probably associate […]

Modern Healthcare: RACs correct fewer improper payments due to paused medical reviews

RACs correct fewer improper payments due to paused medical reviews By Virgil Dickson  | December 14, 2016 Various restraints on Medicare’s recovery audit contractors severely limited their abilities to rectify improper payments last year, but hospitals have long welcomed a slowdown in auditing activity. On Monday, the CMS submitted its annual report to Congress on the state of Medicare’s RACs, which are private companies that audit the medical records of hospitals and doctors to find instances of improper billing or erroneous […]

McKnight’s: Limits on RAC program led to 83% drop in recoveries, report finds

Limits on RAC program led to 83% drop in recoveries, report finds Constraints placed on the Recovery Audit Contractor program contributed to a significant drop in improper payments recovered by the auditors in fiscal year 2015, a new federal report shows. Medicare fee-for-services RACs identified 618,966 improper claims in FY 2015, which added up to $441 million in corrected improper payments, according to the recently published FY 2015 RAC Report to Congress. That’s a nearly 83% drop from fiscal year […]

CAGW: RACs Save Taxpayers $440 Million Despite CMS Constraints

RACs Save Taxpayers $440 Million Despite CMS Constraints December 12, 2016 04:13 PM Eastern Standard Time WASHINGTON–(BUSINESS WIRE)–Citizens Against Government Waste (CAGW) reacted with outrage after the Centers for Medicare and Medicaid Services (CMS) released its fiscal year (FY) 2015 annual report on Medicare Fee-For-Service’s Recovery Audit Program (RAC). The report disclosed that RAC auditors uncovered 618,966 improperly paid claims and recouped $440.69 million in FY 2015. Unfortunately, those results are significantly lower than FY 2014 due to limitations on […]

Bloomberg BNA: THE RACS ARE BACK AT LONG LAST

THE RACS ARE BACK AT LONG LAST There’s an old saying that all things come to those who wait, and after watching the Chicago Cubs win the World Series, there’s no question it’s true. It also applies to Medicare, which recently awarded all five recovery audit contractor (RAC) contracts after a nearly three-year delay. I spoke to a few health-care attorneys who all seemed to agree that the new contracts will signal an increase in RAC reviews. Judy Waltz, an […]