tci Medicare Compliance & Reimbursement - 2007 Issue 12

FRAUD & ABUSE: Medicare Fraud-Hunters Expand Nationwide

Physician group urges CMS to have its RACs focus only on hospitals.The Recovery Audit Contractors (RACs) will be coming to your town soon. These so-called "bounty hunters" receive more money if they collect overpayments (or uncover underpayments). Until now, they've only operated in three states, but they'll expand nationwide by Jan. 1, 2010. So far, they've collected $69 million, only 6 percent of which came from doctors, Centers for Medicare & Medicaid Services (CMS) officials told the March 5 Practicing Physicians Advisory Council (PPAC) meeting. Because such an insignificant part of the RACs' bounty came from doctors, PPAC...

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