CMS Corrects Improper Payment Figures, Statistics
In the last month, the Centers for Medicare & Medicaid Services posted two separate sets of data that provide nationwide statistics on its Recovery Auditor program. The first update contains improper payment figures and top Recovery Auditor issues per region. In the second update, CMS provides appeals statistics for fiscal year 2011.
Improper payment figures and top issues
Recovery Auditor activity saw a huge spike in the latest quarter, as statistics for overpayments and underpayments both saw significant increases. For the time period January 2012 through March 2012, CMS identified $588.4 million in overpayments and $61.5 million in underpayments for a total of $649.9 million in corrections. These numbers are up from $397.8 million and $24.9 million from last quarter, respectively. They have climbed considerably since the start of the permanent program.
In total, CMS has identified $1.86 billion in overpayments and $245.2 million in underpayments for a sum of $2.1 billion in total corrections since the beginning of the Recovery Auditor program.
- Interventional Radiology No Longer a Sub-Specialty
- NFP Hospitals' Revenue Growth at 'All-Time Low'
- Acute Kidney Injury Gets New Focus
- Transforming Cancer Care
- Half of All Primary Care, Internal Medicine Jobs Unfilled in 2013
- mHealth Tackles Readmissions
- Evidence-Based Practice and Nursing Research: Avoiding Confusion
- CNO Leads $1M Charge for New Scrubs, Uniforms
- Sharp HealthCare Leaves Pioneer ACO Program
- MA an Insurance Proving Ground for Providers