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Maximum Medicaid RAC Contingency Fees for DME Overpayments

By Debra A. McCurdy on February 28, 2012

On February 24, 2012, CMS published a notice announcing an increase to the maximum contingency fee that may be paid to Medicaid Recovery Audit Contractors (RACs) for which federal financial participation (FFP) will be available. Specifically, CMS now authorize states to pay their respective Medicaid RACs a contingency fee of up to 17.5% of the recovered overpayment for the recovery of improper payments made for medical supplies, equipment and appliances suitable for use in the home found within the Medicaid home health services. This 5% increase corresponds to a 5% increase in the contingency fee payable to Medicare Recovery Auditors for overpayments associated with Medicare durable medical equipment (DME) claims adopted by CMS effective June 1, 2011.

  • Posted in:
    Health Care
  • Blog:
    Health Industry Washington Watch
  • Organization:
    Reed Smith LLP
  • Article: View Original Source

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