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Tag : Congress

Report to Congress finds $474M in improper payments from fee-for-service Medicare

Report to Congress finds $474M in improper payments from fee-for-service Medicare A tweak to the federal government’s methods of auditing healthcare payment programs has scaled back the number of discovered improper payments. That’s according to the latest report to Congress on 2016 work done by Recovery Audit Contractors in fee-for-service Medicare. The RAC program was put in place to review provider payments, after they’ve been issued, to root out improper payments. The report noted that in fiscal 2016, RACs found improper payments […]

Medicare auditors saved program $214M in FY 2016 and 7 other things to know

Medicare auditors saved program $214M in FY 2016 and 7 other things to know The Medicare Recovery Audit Contractor program corrected $404.46 million in overpayments and $69.46 million in underpayments in fiscal year 2016, according to CMS’ report to Congress. Eight things to know about the 2016 results: 1. In 2016, recovery audit contractors corrected $473.92 million in improper payments, including overpayments collected and underpayments repaid to healthcare providers. That’s up 7.5 percent from $440.69 million the year prior. 2. Sixty-three percent […]

FY2016 RAC Report to Congress: Constraints on the RAC program cause Medicare improper payment recoveries to stall

FY2016 RAC Report to Congress: Constraints on the RAC program cause Medicare  improper payment recoveries to stall Washington, D.C. – September 19, 2018 – The Centers for Medicare and Medicaid Services (CMS) have released the fiscal year 2016 Medicare Fee-For-Service (FFS) Recovery Audit Contractor (RAC) Program annual report to Congress. The RAC Program was mandated by Congress as a safeguard to review provider and supplier Medicare claims on a post-payment basis to identify and correct improper payments, ensuring that program […]