Posted On 10.04.12 By Adam Atwood
There is a nationwide crackdown on Medicare fraud that has become a key priority of government ever since the Tax Relief and Health Care Act of 2006 was signed into law. A component of this act is the Medicare Recovery Audit Contractor (RAC) program, which identifies improper Medicare payments, including overpayments and underpayments, taking place across the country. As a result, there has been an increase in the number of audits being conducted among Medicare services providers such as hospitals, medical supply companies and physician practices. And, one would think, with good reason.

Since 2011, more than $200 million in overpayments were recovered by RAC auditors, whose primary task is to identify improper payments made on Medicare claims. The argument among service providers is that critical information regarding claims has only been the purview of government agencies. However, medical billing companies and physician practices are, more and more, turning to comparative analytics to help prepare for these audits and provide real-time transparency into the claims and billing processes, and to help benchmark their performance against others across the country.

RemitDATA created the comparative analytics space as well as the category, and offers the only real-time comprehensive, comparative analytics solution in the healthcare industry.