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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

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