RAC audits: Skilled nursing facilities accounted for miniscule portion of 2011 Medicare overpayments

Share this article:

Skilled nursing facilities accounted for only about $200,000 of $797 million in collected Medicare overpayments in 2011 identified by Recovery Audit Contractors, according to an annual audit report released Tuesday.

Inpatient claims accounted for the lion's share of collected overpayments, at more than $677 million, according to the Centers for Medicare & Medicaid Services report.

Physician, Durable Medical Equipment and “other” claim types each accounted for between roughly $33 million and $35 million in overpayments. Outpatient claims represented more than $17 million. SNFs — the only other claim type specified by the report — therefore accounted for less than 0.3% of all collected overpayments. The RACs review did not identify any underpayments to skilled nursing facilities.

RACs returned $488 million in improper payments to the Medicare Trust Fund in 2011, the report stated. The 2010 RAC audit report did not include payments returned to the trust fund. It showed a total of $75 million in collected overpayments. The 2010 report also did not specify the proportion of overpayments attributed to SNFs.

In 2012, RAC requests for medical records spiked, according to the American Hospital Association. Last March, CMS doubled the number of medical records the auditors can request.

Share this article:

More in News

Genesis, Skilled Healthcare merger to create huge long-term care provider with more than 500 facilities

Genesis, Skilled Healthcare merger to create huge long-term ...

Genesis HealthCare and Skilled Healthcare Group Inc. will merge to create a single long-term and post-acute care company with more than 500 facilities nationwide, the providers announced Tuesday.

Antipsychotic use tied to acute kidney injury, increasing pressure on nursing home ...

Older people who take antipsychotic medications are at a markedly increased risk of acute kidney injury, according to newly published research findings out of Canada. The study further supports ongoing efforts to reduce the number of nursing home residents on these drugs.

Family alleges long-term care facility banned them due to social media posts, ...

Family members of a Texas long-term care resident have sued the facility where she lives, claiming they were banned from visiting due to their social media posts, according to a publication covering legal proceedings in the state.