Government
Contractors named for Medicare recovery audit
NEWS IN BRIEF — Posted April 18, 2005
Centers for Medicare & Medicaid Services officials have unveiled the names of the firms that will examine Medicare physician claims starting in May to determine whether overpayments or underpayments have taken place.
The agency has contracted with Diversified Collection Services, Livermore, Calif.; Public Consulting Group, Boston; HealthDataInsights Inc., Las Vegas; Connolly Consulting, Atlanta; and PRG-Schultz International Inc., Atlanta, to review claims in California, Florida and New York over the course of the three-year demonstration program. Physicians will be required to return any overpayments that the recovery audit contractors discover. The contractors will be paid based only on how much money they return to the government.
CMS plans to schedule an open-door forum on the recovery audits. Information on such meetings can be found on the agency's Web site (link).
Note: This item originally appeared at http://www.ama-assn.org/amednews/2005/04/18/gvbf0418.htm.