The CMS is restarting audits of Medicare fee-for-service claims on a limited basis. The program has been dormant since June 1 when current audit contracts expired.
Lauren Aronson, director of CMS' Office of Legislation, sent an e-mail to congressional staffers Monday announcing the resumption of the recovery audit contractor program.
“Current recovery auditors will conduct a limited number of automated reviews and a small number of complex reviews on certain claims including, but not limited to: spinal fusions, outpatient therapy services, durable medical equipment, prosthetics, orthotics and supplies, and cosmetic procedures,” Aronson wrote. “The recovery auditors will not conduct any inpatient hospital patient status reviews during this limited restart period.”