In fiscal year 2010 ending Sept. 30, Medicare recovery audit contractors identified and corrected $75.4 million in overpayments, according to a CMS report (pdf).
Medicare RACs also restored $16.9 million in underpayments back to providers. According to the report, there were 191,878 total correction claims.
Other findings about the Medicare RAC program in FY 2010 include the following:
• Inpatient claims were the most prevalent, as RACs corrected a combined $41.4 million in over- and underpayments.
• Only 2.4 percent of all 2010 overpayment claims have been both challenged and overturned on appeal.
• The top error codes that led to overpayments were incorrect codes, incorrect number of units and unbundling.
CMS Updates RAC Program's Scope
Medicare RACs Have Collected Estimated $575M in Overpayments Since Oct. 2009
Medicare RACs also restored $16.9 million in underpayments back to providers. According to the report, there were 191,878 total correction claims.
Other findings about the Medicare RAC program in FY 2010 include the following:
• Inpatient claims were the most prevalent, as RACs corrected a combined $41.4 million in over- and underpayments.
• Only 2.4 percent of all 2010 overpayment claims have been both challenged and overturned on appeal.
• The top error codes that led to overpayments were incorrect codes, incorrect number of units and unbundling.
Related Articles on RACs:
HHS Releases Final Rule for Medicaid RAC ProgramCMS Updates RAC Program's Scope
Medicare RACs Have Collected Estimated $575M in Overpayments Since Oct. 2009