Long-Term Care

HCPro's 2013 Recovery Auditor Benchmarking Report

MDS 3.0 Insider, March 15, 2013

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This year’s Recovery Auditor Benchmarking Report surveyed 325 respondents, representing both small and large hospitals, from all four Recovery Auditor regions. It may not come as a huge surprise to many that the mean theme of this year’s survey is the expanding state of the Recovery Auditors, and the fact that they continue to gain speed and extend their reach.

This theme becomes apparent almost immediately as we look at the percentage of providers that have had recoupments from automated reviews—it has risen by 14% this year. In addition, the amount of providers that have seen record requests for complex or semi-automated reviews has gone from 82% to 91%. This may not be shocking, as CMS continues to approve more issues and the scope of the RAs continues to expand, but it highlights the fact that the audits are ever-changing and will force providers to stay on their toes.

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