Extrapolation Method

Extrapolation for overpays OK, court says

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A federal appeals court has ruled that a government contractor may justifiably calculate the amount a provider owes for Medicare overpayments by conducting a limited audit and then extrapolating from those findings.

When numbers are drawn out by healthcare auditors and red flags wave

When numbers are drawn out by healthcare auditors and red flags wave

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The takeaway in a story last week about extrapolation and Medicare overpayments is, natch, how meticulous providers should be when filing claims — and to understand how individual claim problems can grow. And, boy, can they grow.

Nursing home provider fails in legal bid against 'extrapolation method' in determining Medicare overpayments

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A government contractor can calculate how much money a provider owes for Medicare overpayments by doing a limited audit and then extrapolating from those findings, a federal appeals court recently affirmed.