CMS: Waiting to Exhale…



Good morning, ProviderNation.

The fine folks at CMS are calling for a timeout. The agency says it’s hitting the “pause” button on its recovery audit program.

The audits are big contributors to the monstrous backlog of appeals that has caused a little, um, concern lately.

CMS says it needs to take five to get some new audit contractors in. The breather will “allow CMS to continue to refine and improve the Medicare RA Program,” the agency says.

Auditors have until tomorrow to send providers requests for more information about payments that have already been made, until Feb. 28 to ask for more information on any payments that are pending, and until June 1 to send the dreaded “improper payment files” to the bosses.

It’s not going to fix the appeals backlog problem by itself, but it’s nonetheless “welcome news,” AHCA’s indefatigable Dianne De La Mare says in a memo to her association’s members.  (Bill Myers is Provider’s senior editor. You can e-mail him at Follow him on Twitter, @ProviderMyers.)

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