AUDITED CLAIMS PER PHYSICIAN | AMOUNT RECOVERED PER PHYSICIAN

The Recovery Audit program from CMS used four companies in FY 2012.   These are HDI, CGI, Performant, and Connolly.   These companies each are responsible for a specific part of the United States.

CMS_RECOVERY_RATES.001

(Source: Barraclough analysis.)

One would assume that the audit patterns would be roughly similar, but they are not.

If we use as a basis the total number of active physicians practicing in each region(*) and compare this to the activities of the Recovery Auditors, then an uneven pattern emerges.

RAC_regions.001NOTE: (*) Source: The Henry J. Kaiser Family Foundation

Leave a Reply