Health Information Management

News: Latest Recovery Auditor report sent to Congress

CDI Strategies, February 14, 2013

Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!

Recovery Auditors (previously called Recovery Audit Contractors [RAC]) saved Medicare nearly $500 million in Fiscal year (FY) 2011, according to the latest report to Congress. That’s up from $92.3 million in combined overpayments and underpayments identified and corrected in FY 2010 (October 1, 2009–September 30, 2010).

The recent report highlights efforts which collectively identified and corrected 887,291 claims—$939.3 million dollars in improper payments being corrected ($797.4 million in overpayments, and $141.9 million in underpayments).
 
The FY 20II report also highlights the first year of Recovery Auditor reviews of short-stay inpatient hospital admission issues, and the focus on medical necessity of inpatient admissions. According to the report, “these admissions represent a significant portion of Medicare's FFS error rate and also represent a large portion of the FY 2011 overpayment collections.”



Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular