CMS has posted a summary of the Medicare FFS RAC corrections for the 4th quarter of fiscal year 2011. The summary identifies the following amounts for overpayments, underpayments, and total corrections:
| Collected | Returned | Total Quarter Corrections | FY To Date Corrections (10/1/10-9/30/11) | |
| Region A: | $43.3 | $5.8 | $49.1 | $146.3 |
| Region B: | $60.4 | $3.2 | $63.6 | $170.3 |
| Region C: | $65.2 | $60.7 | $125.9 | $260.9 |
| Region D: | $108.2 | $6.9 | $115.1 | $361.8 |
| Nationwide Totals | $277.1 | $76.6 | $353.7 | $939.4 |
Figures are provided in millions.
Top issues per region:
Region A: Medical necessity regarding renal and urinary tract disorders.
Region B: Medical necessity regarding surgical cardiovascular procedures.
Region C: Medical necessity regarding acute inpatient admission neurological disorders.
Region D: Medical necessity regarding minor surgery and other treatment billed as inpatient.
Healthcare Consulting staff includes certified coders, physicians, consultants certified in healthcare compliance and a statistician that are available to provide expert assistance with your RAC compliance programs.
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