RAC statistics

RAC statistics

Sara Beck

9/12/2013

I am astonished to read the statistics that state that 94 percent of claims identified as overpayments were not appealed.  Between 2010-2011, RAC's recouped over $1.3 billion.  Of that $1.3 billion, $135 million was returned to providers.  Only 6% of those RAC's were appealed, yet $135 million dollars was still repaid to providers. That is huge.  If every single one of us appealed each audit, the total amount returned to providers would likely be $1.3 million and these aggressive and unreasonable audits would stop. 
 
I continue to urge all of us to not only fight these unreasonable audits, but to fight for the integrity and preservation of our profession. 
 
If you need any assistance or have any questions regarding Medicare audits and appeals, please do not hesitate to contact me directly.  Or, contact me through my new website: <URL Redacted>
 
Best regards,
 
Sara Beck
San Joaquin O & P