CMS releases updated improper payment figures, top regional RAC issues
Medicare Update for CAHs, August 10, 2011
CMS released a Recovery Audit Contractor (RAC) update on July 15 that details the amount of overpayments and underpayments identified in the most recent quarter, as well as the total amount identified since the start of the national program.
In the Q3 FY 2011 update, CMS identified $233.4 million in overpayments and $55.9 million in underpayments with a total correction amount of $289.3 million – more than $100 million more than in the previous quarter. The report shows that the figures identified by CMS continue to grow drastically; in the second quarter of fiscal year (FY) 2011, CMS identified $162 million in overpayments and $22.6 million in underpayments, with a total of $184.6 million in corrections.
While this brief CMS report is essentially self-explanatory, the figures within it are certainly telling, according to Kimberly Anderwood Hoy, JD, CPC, director of Medicare and compliance for HCPro, Inc.
Related Products
-
Core Skills for Hospital Case Managers:
A guide to fundamental case management responsibilities, Core Skills for Hospital Case Managers serves as a training...
-
Clinical Documentation Improvement
Hospitals are undoubtedly aware of how a quality clinical documentation improvement program can benefit their facility, but...
-
Short Stays: A Data Driven Approach to Medical Necessity
Join us for this 90-minute audio conference and learn how to take a data-driven approach to billing one-day and short stays...
-
Combat RAC Denials: Strategies for Successful Appeals
During this 90-minute audio conference, our speakers provide step-by-step procedures, timelines, tools, and best practices...
-
Medicare Compliance Forum: Las Vegas, NV
Most Popular
- Articles
-
- Note from Hugh
- Depressing Leapfrog scores haunt hospitals
- Q/A: How should we report irradiated blood products?
- 2014 SNF Proposed Rule Analysis: Revising and rebasing the SNF market basket
- Reminder: MDS correction policy to be updated effective May 19
- Ask the expert: BIMS assessment
- CMS issues transmittal to update the Medicare Provider Reimbursement Manual
- Advanced practice nurses shouldn’t be left behind in meaningful use journey
- Report: Nearly 10 percent of patients have C.diff at admission
- CMS corrects edit 84, deletes modifiers
- E-mailed
-
- Georgia hospitals scrambling to create residency positions
- Q/A: How should we report irradiated blood products?
- CMS looking for comments on molecular pathology payments
- Tip of the week: Build a successful website to impress candidates
- Applying multiple procedure payment reductions to therapy cap amounts for Critical Access Hospital (CAH) claims
- Don't burn those ICD-9-CM Manuals just yet
- Joint Commission seeks input on behavioral health home certification
- Report: Nearly 10 percent of patients have C.diff at admission
- Depressing Leapfrog scores haunt hospitals
- HCA initiative boosts flu shots among hospital workers
- Searched