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Home Health & Hospice Week

Industry Notes:

Overpayments Based On Extrapolation May Get Harder To Appeal

Published on Fri Sep 11, 2020

Standardized guidance is in Program Integrity Manual. The OIG wants CMS to tighten up its extrapolation procedures, and the result could be many millions more in provider overpayments. For a new report, the HHS Office of Inspector General reviewed how Medicare Administrative Contractors and Qualified Independent Contractors use extrapolation to apply a claims error rate to the provider’s claims universe [...]
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