Providers and suppliers of health care services and supplies to Medicare beneficiaries will pay contractors more in interest for unrecouped overpayments and delinquent underpayments in this second quarter. The Treasury Department recently notified the U.S. Department of Health & Human Services (HHS) that the private consumer rate has changed.
April 27th, 2012
Recovery audit contractors (RACs) recouped $797.4 million in alleged Medicare overpayments to health care providers and paid providers $141.9 million in underpayments since October 2010, according to a new report from the Centers for Medicare & Medicaid Services (CMS). CMS claims Medicare RACs collected $354 million in overpayments in the third quarter of fiscal year 2011 alone.
Hospitals participating in the American Hospital Association’s (AHA’s) latest RACTrac survey report, however, appealed about one in three claim denials, of which 77 percent were overturned on appeal. The CMS report does not reflect these overturned denials. According to CMS, coding errors and a lack of sufficient documentation to support medical necessity were among the top overpayment issues cited in the four RAC regions.
December 2nd, 2011
Since October 2009, when Medicare’s fee-for-service Recovery Audit Contractor (RAC) Program went nationwide, health care providers have returned $313.2 million in alleged Medicare overpayments and received $52.6 million in Medicare underpayments, according to a new report from the Centers for Medicare & Medicaid Services (CMS). The report also identifies the top overpayment issues in each of the four RAC regions nationwide.
April 29th, 2011
Underpaying Medicare claims will cost your practice a little more now than it did just a few weeks ago. The Department of the Treasury recently notified the Department of Health and Human Services (HHS) of the private consumer interest rate that may be assessed for underpayments and overpayments. On the bright side, the new interest rate could work in your favor if the Centers for Medicare & Medicaid Services (CMS) underpays your practice.
January 29th, 2010