On May 18, 2012, Medicare released their 2nd Quarter Newsletter regarding the recovery efforts of each of the region's Recovery Audit Contractors: DCS, CGI, Connolly, and HDI.
CGI Federal has the lowest level of overpayment recoupments and underpayment identification. Connolly and HDI/HMS are identifying and correcting exceedingly more improper payments compared to CGI and DCS.
Total improper payments (over and under) increased over 50% between the 1st and 2nd quarters of FY 2012. Total improper payments have already exceeded $1 billion and we are only half way through the year. In 3 out of the 4 regions; the #1 recoupment issue is identified as cardiovascular procedures. Region D reports same day or minor procedures as its #1 issue.
Of all of the areas where hospitals experienced success in the appeal process, sort stay inpatient surgeries were the area where they had the most success.