CMS posts year-end improper payment figures, top issues by region
Recovery Auditor Report, February 23, 2012
On February 9, CMS posted its latest recovery auditor update. The results show a continuing trend toward increasing improper payment collections.
For the time period October 1, 2011 to December 30, 2011, CMS identified $397.8 in overpayments and $24.9 million in underpayments for a total of $422.7 million in improper payments. As has been the case for each quarter, these numbers are higher than any prior one; the previous mark of $277.1 million in overpayments and $76.6 million in underpayments, for a total of $353.7 million, was set in July through September 2011.
Since the national program began in October 2009, CMS has identified a total of $1.27 billion in overpayments and $183.7 million in underpayments for a total of $1.45 billion in total corrections. The total correction amounts of each quarter of the program are as follows:
- October 2009–September 2010: $92.3 million
- October 2010–December 2010: $94.3 million
- January 2011–March 2011: $208.9 million
- March 2011–June 2011: $289.3 million
- July 2011–September 2011: $353.7 million
- October 2011–December 2011: $422.7 million
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...
-
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...
-
The 2013 Medicare Compliance Forum: Las Vegas, NV
-
Level of Care Determinations for 2014: Las Vegas, NV
Attend the half-day seminar, Outpatient, Observation or Inpatient? Continuing to Walk the Tightrope of Regulatory Guidance...
-
OPPS and IPPS Reimbursement Fundamentals: Las Vegas, NV
Attend OPPS and IPPS Reimbursement Fundamentals, a half-day seminar on October 2nd in Las Vegas. Learn how CMS’ substantial...
Most Popular
- Articles
-
- CMS seeks comment on quality measures
- Note similarities and differences between HCPCS, CPT® codes
- Practice the six rights of medication administration
- Don't forget the three checks in medication administration
- Reimbursement for Facility and Professional Services in a Provider-Based Department by Gina M. Reese, Esq., RN
- Q&A: Primary, principal, and secondary diagnoses
- Implications of CMS Changes to H&P Requirements
- OB services: Coding inside and outside of the package
- Skills of effective case managers
- Neurological checks for head injuries
- E-mailed
-
- Correctly code for new cardiac, pulmonary rehab benefits
- TJC spilling too many beans? CMS thinks so
- OB services: Coding inside and outside of the package
- Neurological checks for head injuries
- Know the medical gas cylinder storage requirements
- Ensuring clear and concise documentation critical for case managers
- Coding Clinic for CDI:Reassessing debridement documentation
- Charging extended recovery time on a nursing unit
- Bill and charge for supplies correctly to reduce risk and minimize lost revenue
- Searched
