Audits: RACs Corrected Over $92 Million in Improper Payments Last Year Payments Last Year

Why This Topic Matters

It helps healthcare organizations understand where Medicare recovery auditors focused their efforts during the reported fiscal year and why both overpayment and underpayment review matter for compliance and revenue integrity.

Article Sections

1. CMS recovery audit results for fiscal year 2010

   Summarizes the national report on Recovery Audit Contractor activity and the overall scope of corrected Medicare payments during the fiscal year. It provides the context for the audit findings discussed later in the article.

2. Clarification

   Explains how contingency-fee arrangements relate to both identified overpayments and underpayments. It provides background on why the audit program can affect practices in more than one direction.

3. Check These Areas Where the RACs Identified Issues

   Outlines the broad claim categories and billing situations that were highlighted as frequent problem areas in the report. The section focuses on the kinds of issues RACs were reviewing across inpatient and related services.