Regarding “
CMS reports to Congress on recovery auditors”:
My question is, how much of the recovery included simple coding mistakes—i.e. duplicate lines etc.—that the financial intermediary could have and should have caught?
This has nothing to do with fraud but up-front management as the private payers do. We could save a great deal of money on audits if this type of screening happened at the time the claim is processed.
Christine Kulina
Medford, N.J.