tci Medicare Compliance & Reimbursement - 2014 Issue 3
Audits: Your Facility Could Be On the OIG Hit List
Improper payments totaled over a billion dollars in 2010 and 2011. The recovery audit contractors (RACs) mean business and the Office of the Inspector General (OIG) is taking a serious view of preventive actions required. The CentersforMedicare&MedicaidServices (CMS) released a report in late 2013 Actions to Address Improper Payments, Referrals of Potential Fraud, and Performance, on actions taken based on previous RAC audits. Background: In fiscal years 2010 and 2011, the RACs identified half of all claims that they reviewed as involving improper payments, which totaled $1.3 billion. Although CMS took corrective actions to address most vulnerabilities...
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