Final Rule Released for the Medicaid Recovery Audit Program
On Wednesday, September 14, 2011 the Department of Health and Human Services 
(HHS) released its final rule for the Medicaid Recovery Audit Program, a key 
part of the Administration's initiatives to curb waste, fraud and abuse. 
Created by the Affordable Care Act, the Medicaid Recovery Audit Program will 
help states identify and recover improper Medicaid payments. It will be largely 
self-funded, paying independent auditors a contingency fee out of any improper 
payments they recover that took place in the previous three years.

The Recovery Audit Contractors (RACs) detect and correct past improper 
payments. RACs review claims after payments have been made, using both simple, 
automated review processes and detailed reviews that include medical records. 
RACs can only go three years back from the date the claim was paid, and are 
required to employ a staff consisting of nurses, therapists, certified coders, 
and a physician. Under these expansions, RACs will help identify and recover 
over and underpayments to providers across Medicare and Medicaid for the first 
time.

New Resources to Fight Fraud
The Affordable Care Act provides an additional $350 million over 10 years and 
an annual inflation adjustment to ramp up anti-fraud efforts, including 
increasing scrutiny of claims before they've been paid, investments in 
sophisticated data analytics, and more "feet on the street" law enforcement 
agents and others to fight fraud in the health care system.
These efforts build on our recently awarded predictive modeling contract under 
which CMS is using the kind of technology used by credit card companies to stop 
fraud. Since June 30th of this year CMS has been using this technology to help 
identify potentially fraudulent Medicare claims and uncover fraudulent 
providers and suppliers, flagging both for investigation and referrals to law 
enforcement. This new tool allows CMS for the first time to use real-time data 
to spot suspect claims and providers and take action to stop fraudulent 
payments before they are paid.

These efforts build on the many aspects of the Affordable Care Act that are 
currently working to bring down waste, fraud and abuse in the health care 
system. To learn about the many accomplishments the new tools have produced in 
preventing and fighting waste, fraud and abuse in these programs, see 
http://www.healthcare.gov/news/factsheets/fraud09142011a.html

The Press Release is available at- 
https://www.CMS.gov/apps/media/press/release.asp?Counter=4084

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Vaccinate Early to Protect Against the Flu /2011-2012 Influenza Vaccine Prices 
Are Now Available



The Centers for Disease Control and Prevention recommends a yearly flu 
vaccination as the first and most important step in protecting against flu 
viruses.  Remind your patients that annual vaccination is recommended for 
optimal protection.  Medicare pays for the flu vaccine and its administration 
for seniors and other Medicare beneficiaries with no co-pay or deductible.  
Take advantage of each office visit and start protecting your patients as soon 
as your 2011-2012 seasonal flu vaccine arrives.  And don't forget to immunize 
yourself and your staff.  Get the Flu Vaccination - Not the Flu.

Remember - Influenza vaccine plus its administration are covered Part B 
benefits.  CMS has posted the 2011-2012 seasonal influenza vaccine payment 
limits at: http://www.CMS.gov/McrPartBDrugAvgSalesPrice/10_VaccinesPricing.asp



Note that influenza vaccine is NOT a Part D-covered drug.  For information 
about Medicare's coverage of the influenza vaccine and its administration, as 
well as related educational resources for healthcare professionals and their 
staff, visit http://www.CMS.gov/MLNProducts/35_PreventiveServices.asp.



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