Sep 15th, 2015
UnitedHealth Group, Inc. has agreed to pay $9.5 million to settle a putative class action accusing the company of underpaying California out-of-network ambulatory surgical centers (ASCs) in violation of the Employee Retirement Income Security Act of 1974 (ERISA), Law360 reported Sept 10. An estimated 250 ASCs may be eligible to participate in the settlement. ERISA is ...
In Billing
Apr 27th, 2012
Providers and suppliers of health care services and supplies to Medicare beneficiaries will pay contractors more in interest for unrecouped overpayments and delinquent underpayments in this second quarter. The Treasury Department recently notified the U.S. Department of Health & Human Services (HHS) that the private consumer rate has changed. Medicare Overpayments/Underpayments Interest Rate on...
In Audit
Dec 2nd, 2011
Comments Off on RACs Recoup, Hospitals Appeal with Success
Recovery audit contractors (RACs) recouped $797.4 million in alleged Medicare overpayments to health care providers and paid providers $141.9 million in underpayments since October 2010, according to a new report from the Centers for Medicare & Medicaid Services (CMS). CMS claims Medicare RACs collected $354 million in overpayments in the third quarter of fiscal year 2011 ...
In Audit
Apr 29th, 2011
Since October 2009, when Medicare’s fee-for-service Recovery Audit Contractor (RAC) Program went nationwide, health care providers have returned $313.2 million in alleged Medicare overpayments and received $52.6 million in Medicare underpayments, according to a new report from the Centers for Medicare & Medicaid Services (CMS). The report also identifies the top overpayment issues in eac...
In Billing
Apr 15th, 2011
The interest rate Medicare contractors will charge/pay for claims underpayments/overpayments has changed. Beginning April 19, the private consumer interest rate is 11.00 percent—compared to 11.25 percent in the previous reporting period (Jan. 24 – April 18). Medicare Over/Under Payments Have New Interest Rate was last modified: July 5th, 2011 by admin aapc...