From the HHS News Release: The Medicare Competitive Bidding Program for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) was expanded by the Affordable Care Act and is estimated to save Medicare, seniors, and taxpayers more than $28 billion over 10 years. Already in 2011, the first phase of the program has saved Medicare […]
From the HHS News Release: Medicare is adding coverage for preventive services to reduce obesity. This adds to Medicare’s existing portfolio of preventive services that are now available without cost sharing under the Affordable Care Act. It complements the Million Hearts initiative led jointly by CMS and the Centers for Disease Control and Prevention […]
This document includes links to CMS details regarding the RAC Program. Recovery Audit Program Home Page Medicare FFS RAC contact info (12.6.16) [PDF, 223KB] Medicare FFS RAC Map – November 2016 [PDF, 244KB] Nov. 30, 2016 RAC SOW Regions 1-4 [PDF, 517KB] Nov. 30, 2016 RAC SOW Region 5 [PDF, 1MB] Medicare Learning Network Provider […]
From the HHS News Release: A greatly expanded website to give small business owners an unprecedented detailed review of their health insurance plan choices was announced today by the U.S. Department of Health and Human Services. Just in time for 2012, this powerful new tool allows small business owners to compare the benefits […]
From the HHS Fact Sheet: In 2010, the President announced three goals for cutting improper payments by 2012: reducing overall payment errors by $50 billion, cutting the Original Medicare error rate in half, and recovering $2 billion in improper payments to recipients of federal dollars. As a part of the Centers for Medicare & […]
From the HHS Fact Sheet: The Rebilling demonstration will allow CMS to compensate providers for providing needed care to Medicare patients. At the same time, it continues to encourage providers to deliver services to patients in the most appropriate care setting. It will also effectively lower the improper payment rate, as payments that would […]
From the HHS Fact Sheet: Today, Recovery Auditors work on a contingency basis to identify improper payments after the claims have been paid – the traditional “pay and chase” method of recovering improper payments. The most effective way to limit the amount of taxpayer dollars lost to this type of improper payment is […]
2011 Original Medicare Improper Payment Error Rate The 2011 Original Medicare FFS program improper payment rate was 8.6 percent. While CMS continued to review claims according to a significantly revised and improved methodology as implemented in 2009 in consultation with the Health and Human Services Office of Inspector General (OIG), the methodology was further refined […]
2011 Medicare Advantage (Part C) Improper Payment Error Rate For FY 2011, CMS is reporting a Part C composite improper payment rate estimate of 11 percent, based on CY 2009 payments. This represents a three percentage point reduction from the FY 2010 Part C composite improper payment rate of 14.1 percent. This improvement can be […]