Tag: audits

OIG releases new report on RAC program and improper payments

On September 3, the Office of Inspector General (OIG) released a report titled, “Medicare Recovery Audit Contractors and CMS’s Actions To Address Improper Payments, Referrals of Potential Fraud, and Performance.” The report found that in 2010 and 2011, Recovery Audit Contractors (RAC) identified half of all claims they reviewed as having resulted in improper payments […]

Ask the expert: MAC audits

Q: We recently went through a Medicare probe at my facility and a part of the probe was denied because a MDS was not in the national repository.  How can I find out which MDS they were speaking about? I have submissions that state all of my MDS’ for this particular resident were accepted. A: You […]