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Category : Press Release

February Report: University of Minnesota Medical Center Overbilled Medicare $3.2 Million

FOR IMMEDIATE RELEASE                                                                                      CONTACT: Kelly Davis kelly.davis@rubinmeyer.com (202) 898-0995 February Report: University of Minnesota Medical Center Overbilled Medicare $3.2 Million Washington, D.C. – A report released this week by the U.S. Department of Health and Human Services Office of Inspector General found that the University of Minnesota Medical Center in Minneapolis overbilled Medicare $3,266,841 from 2012 to 2013.  According to the OIG, 51 percent of the hospital’s Medicare claims were improperly billed. According to the Council for Medicare […]

RAC Facts: Medicare Part A in Jeopardy, Congress Raises Concerns Over Limitations on RAC Program

Medicare Part A in Jeopardy, Congress Raises Concerns Over Limitations on RAC Program According to a new report from the Congressional Budget Office (CBO), the trust fund for Medicare Part A (hospital insurance) will be bankrupt by 2026 – in just 10 years.  The report projects that the fund’s annual expenditures will outpace income “in all years through 2026 except for 2018, producing annual deficits…that would rise to $54 billion in 2025, the final year before the fund was exhausted.” […]

Top 10 States with Highest Medicare Waste

FOR IMMEDIATE RELEASE                                                CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 Top 10 States with Highest Medicare Waste  Council for Medicare Integrity releases analysis of states’ Medicare waste Washington, D.C. – The Council for Medicare Integrity (CMI) today released an analysis of waste within the Medicare Fee-For-Service program. The analysis, which looks at how much money each state wastes per beneficiary, found that the District of Columbia has the highest amount of Medicare waste per beneficiary among in the entire United States with $177.84 […]

Avalere Analysis: Continuing The Pause in RAC Program Will Cost Medicare $47 Billion

FOR IMMEDIATE RELEASE                                  October 27, 2015   CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 Continuing The Pause in RAC Program Will Cost Medicare $47 Billion Avalere analysis determines federal Medicare spending will significantly increase over the next 10 years at current RAC recovery levels Washington, D.C. – Today, an analysis from Avalere Health reveals that the federal government will increase spending on Medicare by $47 billion over the 2016-2025 budget window if the pause in the Recovery Audit […]

RAC Facts: Trend Report Identifies Top 5 Medicare Billing Issue Areas That Put Taxpayer Dollars At Risk

Trend Report Identifies Top 5 Medicare Billing Issue Areas That Put Taxpayer Dollars At Risk A new trend report from the Council for Medicare Integrity identifies the top five CMS-approved billing issues that contribute most to Medicare waste. The issues include: Durable Medical Equipment (DME): According to the CMS Comprehensive Error Rate Testing (CERT) program, in FY2014, the error rate among DME billing was 53.1%, accounting for $5 billion in improper payments. Home Health Claims: In FY2014, CMS reported that the […]

FY2014 RAC Report To Congress: RACs Remain A Valuable, Accurate Integrity Tool

FOR IMMEDIATE RELEASE CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 FY2014 RAC Report To Congress: RACs Remain A Valuable, Accurate Integrity Tool  Washington, D.C. – The Centers for Medicare and Medicaid Services (CMS) have released the Medicare fee-for-service Recovery Audit Program’s annual report to Congress for the fiscal year 2014. The report shares that Recovery Audit Contractors (RACs) returned more than $2.39 billion in Medicare improper payments and maintained their average accuracy score of more than 96%. According to the report, […]

Trend Report Identifies Top 5 Medicare Billing Issue Areas That Put Taxpayer Dollars At Risk

  FOR IMMEDIATE RELEASE October 14, 2015         CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 Trend Report Identifies Top 5 Medicare Billing Issue Areas That Put Taxpayer Dollars At Risk Washington, D.C. – Today, the Council for Medicare Integrity (CMI) released a trend report identifying the top five CMS-approved billing issues that contribute most to Medicare waste. The issues include: Durable Medical Equipment (DME): This area of Medicare billing has consistently had an incredibly high rate of billing errors, frequently billed incorrectly at […]

RAC Facts: The Anatomy of a Medicare Improper Payment

The Anatomy Of A Medicare Improper Payment Last week the Senate Finance Committee met to discuss government-wide improper payments, which have risen to a shocking $124.7 billion. In particular, Comptroller General Gene L. Dodaro, head of the GAO, told the Senate that the federal government could substantially improve its fiscal situation by cleaning up improper payments in three key areas, including Medicare. “Federal spending in Medicare and Medicaid is expected to significantly increase, so it is critical that actions are […]

RAC Facts: Frequent Filers Continue to Overwhelm Medicare Appeals Process

Frequent Filers Continue to Overwhelm Medicare Appeals Process Despite CMS recently offering providers a settlement incentive to clear the backlog of Medicare appeals claims, new estimates show that providers are still filing appeals at a rapid rate in an attempt to game the system. The Office of Medicare Hearings and Appeals (OMHA) now reports that the backlog of appeals cases will surpass 1 million claims by the end of this month. While recently testifying before Congress, Chief Administrative Law Judge […]

RAC Facts: More than $10 billion returned to Medicare Trust Fund

More than $10 billion returned to Medicare Trust Fund The CMS Medicare Fee-for-Service (FFS) National Recovery Audit (RA) Program reports for the second and third quarters of 2015 show Recovery Audit Contractors (RACs) have returned a total of more than $10 billion to the Medicare Trust Fund since the program began in 2006. Additionally, RACs have returned more than $800 million in underpayments to Medicare providers for services that were initially under billed.  Due to restraints placed on the program, […]