Medicare’s new method of calculating payment rates for laboratory tests could cost the agency billions in overpayments, according to a recent report from the U.S. Government Accountability Office.
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News | Rule proposes to give auditors more leeway | Source: ACDIS | Auditors could be able to extrapolate findings to larger pools of claims, according to a CMS proposed rule. An auditor could pull 30 claims, find a total overpayment of $1,000, which would mean an average of $33.33 per claim, and then extrapolate those findings to a larger group of 10,000 claims to say that the overpayment was nearly $350,000. |
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