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CMS Releases 3rd Quarter Summary of Medicare FSS RAC Recoveries

The Centers for Medicare and Medicaid Services (CMS) has posted a summary of the Medicare Fee for Service RAC recoveries for the 3rd quarter of fiscal year 2011. The summary displays the amount of each region’s overpayments, underpayments and total corrections, as well as the nationwide totals. In addition to these quantitative findings, CMS has also identified the top issues for each region.

Click here to view the summary posted by CMS.

Review of these issues is helpful for providers wishing to develop a compliance program that will alert them to potential RAC issues prior to a RAC audit. The issues identified by CMS should be a key focus area for providers developing compliance programs to prepare for and hopefully avoid RAC audits. If you need assistance in preparing for, or defending against a RAC audit through the Medicare appeals process, or for assistance implementing a compliance program geared toward identifying and correcting potential risk areas related to RAC audits, please contact a Wachler & Associates attorney at 248-544-0888.

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