Each year HCPro's Revenue Cycle Institute reports on the experience of providers related to the Recovery Audit Program. This article is adapted from the 2011 Recovery Auditor Benchmarking Report, released in early 2012 and includes additional comparisons of provider experiences since 2009.
Case managers have already become familiar with the Medicare Recovery Audit Program. In January, however, government Recovery Auditors began focusing on new territory: Medicaid claims.
If healthcare organizations take a lesson from Blue Cross Blue Shield of Tennessee's (BCBST) $1.5 million settlement for its 2009 HIPAA breach, it's that they should wake up and pay attention to where their ePHI is contained and stored, says Ali Pabrai, MSEE, CISSP, CSCS.
Editor's note: Each year HCPro's Revenue Cycle Institute reports on the experience of providers related to the Recovery Audit Program. The article below is adapted from the 2011 Recovery Auditor Benchmarking Report, released in early 2012. The summary of last year's results is by Kimberly Anderwood Hoy, JD, CPC, director of Medicare and compliance at HCPro. Readers can download their complimentary copy of the full report at www.revenuecycleinstitute.com.
