tci Part B Insider - 2005 Issue 5

Reimbursement: Brace Yourself For A New Layer Of Audits

New contractors will have you in their crosshairsIn case you didn't think you were bearing enough audit burdens already, another layer of scrutiny will come down on your head 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...

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