CMS releases recovery audit figures for FY 2011

According to a recently released report from the Centers for Medicare & Medicaid Services, Medicare Recovery Audit Contractors corrected more than $939 million worth of payments this year – a nearly tenfold increase over figures from last fiscal year, FierceHealthcare reports.

Nearly $800 million of the corrections were related to overpayments, while the remainder pertained to underpayments.

The fourth quarter of fiscal year 2011 was the most successful for all forms of recovery audits. $277.1 million in overpayments were collected and $76.6 million underpayments were returned, resulting in a total of $353.7 million.

The top overpayments issues observed between July and September were related to renal and urinary tract disorders, collaborative surgical cardiovascular procedures, collaborative acute inpatient admission neurological disorders, minor surgery and other treatment billed as inpatient stay.

According to a separate FierceHealthcare article, inspectors are set to review patient payments to acute-care hospitals, review present-on-admission indicators, look at acute-care hospital inpatient transfer to inpatient hospice care and examine critical access hospitals in their continued crackdown on fraud. 

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