Data & Reports

Data & Reports

Avalere Health

• Estimated Federal Impact of the Medicare Fee-For-Service (FFS) Recovery Audit Program

CMI Trend Reports

• Identifying The Top 5 CMS-Approved Medicare Billing Issue Areas That Put Taxpayer Dollars At Risk
• States & Medicare Waste
• 2016 State Of The RAC Program
• A Look at Medicare Improper Payments in Durable Medical Equipment, Prosthetics, Orthotics, and Supplies

CMS RAC Report to Congress

• FY2015
• FY2014
• FY2013
• FY2012 
• FY2011
• FY2010

HHS Agency Financial Reports

• FY2016
• FY2015 
• FY2014
• FY2013
• FY2012
• FY2011
• FY2010

CERT reports, Medicare Fee-For-Service Improper Payments

• FY2016 Report
• FY2016 Appendices
• FY2015 Report
• FY2015 Appendices
• FY2014 Report
• FY2014 Appendices
• FY2013 Report
• FY2013 Appendices
• FY2012 Report
• FY2012 Appendices
• FY2011 Report
• FY2011 Appendices

GAO Reports

• Government Efficiency and Effectiveness
• Medicare Fee-For-Service: Opportunities Remain To Improve Appeals Process

OIG Reports

• OIG 2017 Compendium of Unimplemented Recommendations
• OIG: Hospital Compliance Reports
• OIG: Medicare Recovery Audit Contractors And CMS’s Actions To Address Improper Payments, Referrals Of Potential Fraud, And Performance (August 2013)
• Podcast
• OIG: The First Level of the Appeals Process 2008-2012: Volume, Outcomes, and Timeliness (October 2013)

Medicare Trustees Report

• 2017
• 2016
• 2015

Letters to the Administration:

• CMI Letter to Sec. Price

Other Resources:

• Statement of Work for the Recovery Audit Program

• HHS Brief: American Hospital Association v. Sylvia M. Burwell

• Memorandum Opinion: American Hospital Association v. Sylvia M. Burwell