The Centers for Medicare & Medicaid Services (CMS) today released a new report offering fresh evidence that the recovery audit contractors (RACs) pilot program is successfully identifying improper payments.
Centers for Medicare & Medicaid Services (CMS) Administrator Mark McClellan, M.D., Ph.D. today announced CMS will soon undertake a pilot program in partnership with hospitals in 13 states and the District of Columbia to determine the effectiveness of the voluntary compliance programs used by many hospitals.
The Centers for Medicare & Medicaid Services today issued a final rule revising Medicare policies governing outlier payments to hospitals for services to inpatients for whom the costs of treatment greatly exceed the fixed payment under the inpatient prospective payment system (IPPS).
The Centers for Medicare & Medicaid Services (CMS) today proposed new regulations that will prevent further gaming of the outlier system. A few hundred hospitals in recent years have obtained the lion’s share of these payments by manipulating their Medicare billing to maximize Medicare outlier revenues.