CMS awards contracts to find bad payments

The Centers for Medicare and Medicaid Services has awarded several contracts to identify and collect Medicare overpayments that claims processors and their systems may have missed. The contractors will participate in demonstration projects in California, Florida and New York as part of CMS' effort to increase the accuracy of payments.

CMS, an agency of the Health and Human Services Department, also has undertaken efforts at contractor reform, supplementary carrier quality controls and improved data capabilities. Medicare accounts for almost half of the annual $45 billion in improper federal payments, a recent report from the Office of Management and Budget said.

'In conjunction with new steps to ensure Medicare's billing rules are clear, this demonstration will let us test a new approach to ensure that payments made to providers are accurate,' said CMS administrator Mark McClellan.

The recovery audit contractors are:
  • Connolly Consulting Associates Inc. of Wilton, Conn.

  • Diversified Collection Services Inc. of Livermore, Calif.
  • HealthData Insights of Las Vegas

  • PRG-Shultz International Inc. of Atlanta

  • Public Consulting Group Inc. of Boston.

CMS offers education and training resources such as a customized provider Web site, new Medicare Learning Network guides and Web-based training to help understand new billing procedures.

About the Author

Mary Mosquera is a reporter for Federal Computer Week.

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