Study offers insight into healthcare organizations’ recovery audit compliance

According to a recent Health Care Compliance Association survey conducted to gauge how healthcare providers are handling the Centers for Medicare and Medicaid Services' (CMS) recovery audit contractor (RAC) audits, two-thirds of healthcare organizations defer the responsibility to their compliance departments.

Despite the added work, most compliance department budgets have not risen, the study found. Specifically, half reported no increase, 5 percent reported a slight decrease and just 10 percent reported a significant increase.

The survey also found that 57 percent of respondents from organizations with up to 250 employees dedicate one full-time employee to handle recovery audits – a figure that fell slightly to 56 percent for respondents from organizations with workforces of between 1,000 and 5,000. Nearly two-thirds (64 percent) of entities with more than 5,000 workers dedicated three or fewer employees to RAC audits.

Earlier this month, CMS announced the indefinite postponement of its Recovery Audit Prepayment Review demonstration just three days before it was due to be launched. According to an announcement, the decision was made in order to allow the agency to consider the comments and suggestions it received when the program was announced in November.

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