BC Advantage - 2016 Issue 6

Medicare Providers: Don't Let Identity Theft Cost You Money!

Medicare providers face an alphabet soup of entities seeking to recover "overpayments" on behalf of Medicare.  Commonly referred to as Recovery Audit Contractors (RACs), these entities include Zone Program Integrity Contractors (ZPICs), and they have an aggressive mandate to recover Medicare "overpayments" to providers.Our team recently represented a physician from whom a RAC sought $850,000 in overpayments for services billed to Medicare.  The liability arose because our client did not have any documentation to support the $850,000 in billed services.  However, our client did not have the supporting documentation because she never performed...

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