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Category : Press Release

Oregon Hospitals Overbilled Medicare $23 Million

FOR IMMEDIATE RELEASE       CONTACT: Kristin Walter kristin.walter@rubinmeyer.com  (202) 898-0995  Oregon Hospitals Overbilled Medicare $23 Million Washington, D.C. – Oregon hospitals overbilled Medicare $23 million in 2013, according to an annual report by the Center for Medicare and Medicaid Services (CMS). Oregon ranked number 39 on a list of the worst states with Medicare waste in 2013, the most recent year for which government data is available. Improper Medicare billing among the state’s healthcare providers increased $8 million over the previous […]

Utah Hospitals Overbilled Medicare $24 Million

FOR IMMEDIATE RELEASE                                                CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995  Utah Hospitals Overbilled Medicare $24 Million Washington, D.C. – Utah hospitals overbilled Medicare $24 million in 2013, according to an annual report by the Center for Medicare and Medicaid Services (CMS). Utah ranked number 35 on a list of the worst states with Medicare waste in 2013, the most recent year for which government data is available. Improper Medicare billing among the state’s healthcare providers increased $2 million over the […]

‘Oversight Holiday’ Drives RAC Recoveries to Lowest Level In Program History

FOR IMMEDIATE RELEASE March 10, 2015 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com                                                                                                                   (202) 898-0995   ‘Oversight Holiday’ Drives RAC Recoveries to Lowest Level In Program History While GAO Reports Provider Inappropriate Medicare Billing Highest in History Washington, D.C. – The Centers for Medicare and Medicaid Services (CMS) Medicare Fee-for-Service National Recovery Audit Program report for the first quarter of 2015 shows Recovery Audit Contractors (RACs) recovered $48.25 million in misused Medicare funds between October and December 2014, the lowest rate of […]

Wisconsin Hospitals Overbilled Medicare $40 Million

FOR IMMEDIATE RELEASE   March 9, 2015 CONTACT: Kelly Davis kelly.davis@rubinmeyer.com (202) 898-0995 Wisconsin Hospitals Overbilled Medicare $40 Million  Washington, D.C. – Wisconsin hospitals overbilled Medicare $40 million in 2013, according to an annual report by the Center for Medicare and Medicaid Services (CMS). Wisconsin ranked number 27 on a list of the worst states with Medicare waste in 2013, the most recent year for which government data is available. Improper Medicare billing among the state’s healthcare providers increased $11 million […]

Texas Hospitals Overbilled Medicare $152 Million, State Ranks 6th in U.S. for Medicare Waste

FOR IMMEDIATE RELEASE March 2, 2015 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 Texas Hospitals Overbilled Medicare $152 Million, State Ranks 6th in U.S. for Medicare Waste Washington, D.C. – Texas ranks sixth on a national list of the worst states for Medicare waste, overbilling Medicare $152 million in 2013, according to an annual report by the Center for Medicare and Medicaid Services (CMS). Texas held its position at number six in 2013, the most recent year for which government data […]

Medicare Auditors’ Coalition Debuts New Name, Evolving Mission

PRESS RELEASE FOR IMMEDIATE RELEASE February 26, 2015 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 Medicare Auditors’ Coalition Debuts New Name, Evolving Mission American Coalition for Healthcare Claims Integrity re-launches as Council for Medicare Integrity Washington, D.C. – A coalition of healthcare auditors today announced the launch of the Council for Medicare Integrity – formerly known as the American Coalition for Healthcare Claims Integrity. The Council will continue to defend the Recovery Auditor Contractor (RAC) Program and its work to safeguard Medicare from overbilling, […]

Hospital Industry’s ‘Frequent Filers’ at Root of ALJ Backlog

FOR IMMEDIATE RELEASE February 17, 2015                   CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 Hospital Industry’s ‘Frequent Filers’ at Root of ALJ Backlog Washington, D.C. – A backlog of 750,000 cases afflicting the Center for Medicare and Medicaid Service’s (CMS) most effective Medicare integrity program is due to the volume of provider appeals at the Administrative Law Judge (ALJ) level, not systemic flaws in the Recovery Audit Contractor (RAC) program as hospital groups […]

CMS Awards Recovery Audit DME Contract

FOR IMMEDIATE RELEASE December 31, 2014 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 CMS Awards Recovery Audit DME Contract Spotlight on the area that accounts for highest percentage of the CERT error rate Washington, D.C. – The Centers for Medicare and Medicaid Services (CMS) moved forward to award the first national recovery audit contract to identify Medicare improper payments among Durable Medical Equipment and Home Health and Hospice (DME/HH-H) claims. The contract was awarded to Connolly, LLC, a subsidiary of Connolly iHealth […]

Coalition: Omnibus Bill Too ‘Sympathetic’ to Industry Responsible for Billions in Medicare Waste

FOR IMMEDIATE RELEASE: December 15, 2014 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 Washington, D.C. – The American Coalition for Healthcare Claims Integrity (ACHCI) issued a statement today regarding provisions in the Omnibus spending package that pertain to Recovery Audit Contractors and improvements to the ALJ hearing backlog. “Our coalition is pleased to see language in the omnibus spending package that calls for greater transparency and a consistent application of Medicare policy in the appeals process. While Recovery Auditors maintain a […]

Medicare Improper Payment Rate Continues To Climb, Recoveries Decline As RACs Are Sidelined

FOR IMMEDIATE RELEASE November 24, 2014 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995 Medicare Improper Payment Rate Continues To Climb, Recoveries Decline As RACs Are Sidelined The FY2014 Medicare FFS program improper payment rate is now 12.7%, representing a $46.0 billion annual loss to the program 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 2013. The report shares that during that year Recovery Audit […]