Home Health & Hospice

What specific recommendations did GAO make to CMS about improving its oversight of postpayment claims reviews?

Homecare Insider, August 18, 2014

To remedy these problems, GAO recommends that CMS provide additional oversight and guidance regarding data, duplicative reviews, and contractor correspondence. In particular, it advices CMS to:
  • Monitor the Recovery Audit Data Warehouse to ensure required data is submitted, accurate, and complete
  • Develop complete guidance to define contractors’ responsibilities
  • Clarify the current requirements regarding contractors’ communications with providers
  • Assess regularly whether contractors are complying with requirements