A new government report shows Medicare’s recovery auditors returned more than $3 billion into the program’s coffers last year. Providers that appealed those audits won less than 1 in 5 tries. In total, RACs found $3.75 billion in incorrect payments made to hospitals and doctors in FY 2013, according to CMS’ annual RAC report to Congress. $3.65 billion of the amount was related to overpayments. The government report also states that only 18.1% of all claims that providers took to the Medicare’s appeals process were overturned in favor of the provider.
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