Healthcare News: Recovery Auditor contracts announced

November 15th, 2016

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This news item covers a CMS announcement about the next round of Medicare fee-for-service Recovery Auditor contract awards and the regional assignment structure for post-payment claims review. It is relevant to people tracking Medicare program updates, audit administration, and the organizations involved in Recovery Auditor work. The article gives a high-level view of the new regions, the contractors named, and the general scope of claims review activity under the contracts.

Why This Topic Matters

Recovery Auditor contract changes can affect how Medicare claims are reviewed and which entities are responsible for different regions and provider categories. This is useful for compliance staff, billing teams, auditors, and healthcare organizations that monitor Medicare audit activity.

What You Will Learn

  • How CMS announced the next round of Recovery Auditor contract awards
  • Which organizations were awarded regional Recovery Auditor contracts
  • How the regional review structure is organized at a high level
  • Which broad categories of Medicare claims are included in the review scope

Who Should Read This

  • Medical coders
  • Billing and reimbursement staff
  • Compliance professionals
  • Healthcare auditors
  • Revenue cycle teams
  • Medicare providers

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