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Category : Press Release

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, […]

Mary Hitchcock Memorial Hospital Overbilled Medicare $1.4 Million

FOR IMMEDIATE RELEASE                                                 August 10, 2015             CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 Mary Hitchcock Memorial Hospital Overbilled Medicare $1.4 Million Washington, D.C. – A report released this week by the Office of Inspector General found that Mary Hitchcock Memorial Hospital in Lebanon, New Hampshire overbilled Medicare by $1,393,198. According to the OIG, the hospital improperly billed […]

More than $10 billion returned to Medicare Trust Fund

FOR IMMEDIATE RELEASE CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 More than $10 billion returned to Medicare Trust Fund More work needed to prevent program bankruptcy in 2030 Washington, D.C. – The Centers for Medicare and Medicaid Services (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, […]

Medicare Celebrates 50th Anniversary, Americans Concerned for Program’s Future

FOR IMMEDIATE RELEASE   CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995  Medicare Celebrates 50th Anniversary, Americans Concerned for Program’s Future Washington, D.C. – On July 30, 2015, Medicare will turn 50 years old. As the program celebrates this milestone, many Americans – and Medicare Trustees – are concerned about its financial future. A startling Medicare Trustee report has warned that the Medicare Trust Fund may not be around to support future generations, predicting that the fund will be insolvent in just 15 […]

RAC Facts: Medicare’s 50th Anniversary: What Does The Future Hold?

Medicare’s 50th Anniversary: What Does The Future Hold? Medicare is celebrating its 50th anniversary this month, but when the program reaches the age at which most beneficiaries enroll – 65 – it may be bankrupt. Over the past five decades, Medicare has had a tremendous impact: Today, Medicare covers 55 million Americans who are over 65 years old or disabled. The program has contributed to a five-year increase in life expectancy at age 65. Now, only 2% of Americans over 65 […]

RACFacts: AFIRM: What You Need To Know

AFIRM: What You Need To Know The Senate Finance Committee is to be congratulated for its important work navigating a complicated system and undertaking much needed changes to the Medicare appeals process, as reflected in the Audit & Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015. The Council for Medicare Integrity is encouraged by the Committee’s focus to reduce the now historically high of level of improper Medicare payments which have drained more than $46 billion from […]