tci Medicare Compliance & Reimbursement - 2006 Issue 44

IN OTHER NEWS

· The Recovery Audit Contractors (RACs) that the Centers for Medicare & Medicaid Services (CMS) is testing in New York, California and Florida recovered $303.5 million in improper payments in their first year -- including $17.9 million from physicians, according to a status report from CMS. The RACs found $10.5 million in underpayments, but these all came from hospitals, not physicians. Three quarters of overpayments (77 percent) came from hospitals. · Medicare may grant a physicians an extended repayment schedule (ERS) for overpayments if she qualifies as suffering from "hardship," meaning the overpayments account for...

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