tci Medicare Compliance & Reimbursement - 2005 Issue 7

PHYSICIANS: Brace For A New Layer Of Audits

New contractors will have docs in their crosshairsFor doctors who didn't think they were bearing enough audit burdens already, another layer of scrutiny will come down very soon.The Centers for Medicare and Medicaid Services has issued requests for proposals (RFPs) from organizations wishing to become Recovery Audit Contractors. These contractors will audit claims from physicians and other providers, and turn the funds they recoup over to Medicare.Most of these recovered funds will go back into the program, but not all. The contractors will receive an undefined percentage of the amount they recoup. In other words, the more...

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