Truth in Numbers
The Real Problems Hospitals Face
According to a 2012 Annual Report*, Medicare will go bankrupt in either 2016 or 2024 depending on how you calculate the effect of Obamacare.
Improper payments are a significant contributor to this problem. More than 30% of Medicare payments are considered “improper.”
RAC (Recovery Audit Contractors) Auditors work on commission. They receive 9-12.5% of everything they collect. They can investigate as far back as 36 months.
From March 2005 – March 2008, RACs corrected more than $1.03 billion in Medicare improper payments.
*Annual Report of the Board of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
Testimonials
What Our Clients Say About Us
“Your recent audit of our programs in Idaho and Oklahoma were invaluable. The education you provided has made a huge impact on the accuracy of the coding and billing, and the financial impact has already been significant. You have a way of taking a very complicated subject and helping people understand the correct way to do things and why…I look forward to having you involved in future programs so that we will get them started on the right foot and avoid having to clean things up later.”
- Sidney D. Winters, MBA
- President And CEO
- Hyperbaric Medicine Group
“This is just incredible information! I really appreciate the thought you put into this response and the fact that you have validated what most of us have been operating under as “opinions.” You hit on a few very key points that vary from physician-to-physician and how they approach the clinical and documentation components of the patient visit – which will definitely impact the appropriateness of the -25.”
- Christopher A. Morrison, MD, FCCWS, FACHM
- CEO
- Nautilus Health Care Group
“Thank you for the feedback…I get stumped sometimes when trying to explain Medicare guidelines and medical necessity to our panel of physicians and providers…I am glad to have a network of individuals such as you and your team to rely on when the need arises.”
- Norma Terry, CHT
- Wound Care Center Director
- South Texas Health Systems