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Modern Healthcare: Orthotics, prosthetics group proposes RAC audit changes

From Modern Healthcare: Orthotics, prosthetics group proposes RAC audit changes By Lisa Schencker  | March 20, 2015 The American Orthotic & Prosthetic Association is proposing a change to Medicare’s recovery audit contractor program that it says would keep providers from suffering devastating financial losses while appealing disputed claims. The organization says providers should not have to refund alleged overpayments identified by RACs until after an administrative law judge reaches a decision on an appeal. Now, even providers who are in the […]

DME/HH-H Improper Payments Contribute to 30% of Medicare Losses

FOR IMMEDIATE RELEASE March 19, 2015 CONTACT: Kristin Walter kristin.walter@rubinmeyer.com (202) 898-0995   DME/HH-H Improper Payments Contribute to 30% of Medicare Losses Washington, D.C. – Data released recently by the Center for Medicare and Medicaid Services (CMS) show the Durable Medical Equipment and Home Health and Hospice (DME/HH-H) providers improperly bill the Medicare Trust Fund in more than half of all claims, amounting to a loss of $15 billion. Service Error Rate Amount Lost Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) 53.1% […]

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 […]

In Business Madison: Report: State hospitals overbilled Medicare

From In Business Madison: Report: State hospitals overbilled Medicare An annual report from the Center for Medicare and Medicaid Services (CMS) shows Wisconsin hospitals overbilled Medicare by $40 million in 2013, the most recent year for which data is available. That year, the state ranked 27th on a list of the worst states when it comes to Medicare waste. According to a report from the Council for Medicare Integrity, which analyzes CMS data, the rate of improper payments nationwide has […]

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 […]

Report: Texas Is Sixth Worst State In U.S. For Wasteful Medicare Billing

From D Healthcare Daily, D Magazine: Report: Texas Is Sixth Worst State In U.S. For Wasteful Medicare Billing A federal report has found that Texas was the sixth-worst state in the nation for excess and errant Medicare charges in 2013, a year that saw Lone Star State providers overbill the feds to the tune of $152 million, about $56 million more than they did the year before. The Centers for Medicare and Medicaid Services presented the 2013 Recovery Audit Contracting program […]

McKnight’s: Controversial Medicare auditors group changes name, website

From McKnight’s: Controversial Medicare auditors group changes name, website A Medicare payment watchdog group saddled with huge case backlogs and heavily criticized for causing delays in resolving reimbursement issues has changed its name and location on the web. The Council for Medicare Integrity, formerly the American Coalition for Healthcare Claims Integrity, will continue to support the recovery audit contractor program and will also work with hospitals and physicians to help lower improper payments, the group said in announcing its new […]

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 […]