tci Outpatient Facility Coding Alert - 2014 Issue 1

Auditing: Check Whether Your Facility Is On the OIG Hit List

Ambulatory and outpatient services were in top POS mistakes. Recovery audit contractors (RACs) have identified improper payments to physicians and facilities totaling over a billion dollars, which makes every practitioner a target. Read on for the latest on how these issues will be addressed, straight from the OIG’s report, Medicare Recovery Audit Contractors and CMS’s Actions to Address Improper Payments, Referrals of Potential Fraud, and Performance, released in late 2013 to report on whether CMS has taken action based on previous RAC audits. Background: In fiscal years 2010 and 2011, the RACs identified half of all claims...

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