Unbiased Analysis of Today's Healthcare Issues

A drop in the bucket…

Written By: Jason Shafrin - May• 16•13

Every year, the Centers for Medicare and Medicaid Services (CMS) conducts a recovery audit. In a recent report, Medicare collected over $797 million in Medicare overpayments in 2011. Where do these overpayments come from?

  • Inpatient: $677m
  • Durable Medical Equipment & Other: $35m
  • Physician: $33m
  • Outpatient: $17m
  • Skilled Nursing Facilities: $0.2m

Recovery Audit Contractors returned $488 million in improper payments to the Medicare Trust Fund in 2011. Although this may seem like a large amount of money, Medicare spending in 2010 was $524 billion. Thus, the recovered funds amount to less than two tenths of a percentage of total Medicare spending.

Figures from the FY2010 audit are displayed below. These figures do not, however, include payments returned to the trust fund.

You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

Leave a Reply

Your email address will not be published. Required fields are marked *