tci Part B Insider - 2013 Issue 31

Recovery Audit Contractors: CMS Has Yet to Follow Through on RAC Recommendations, OIG Says

But your MAC will most likely come down on improper payments soon. If you’ve heard that recovery audit contractors (RACs) identified improper payments totaling over a billion dollars, you heard correctly. But if you heard that CMS was making changes to ensure these issues don’t happen going forward, you may have gotten bad information. That’s the word from the OIG’s report, Medicare Recovery Audit Contractors and CMS’s Actions to Address Improper Payments, Referrals of Potential Fraud, and Performance, which the agency released last week to report on whether CMS has taken action based on...

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