Special Open Door Forum: Medicare Fee-For-Service Recovery Auditor Prepayment Review Demonstration

Thursday, August 9; 2-4pm ET

CMS will hold a Special Open Door Forum (ODF) to discuss the recently approved Recovery Auditor Prepayment Review Demonstration that will begin August 27, 2012.

This Special ODF is designed specifically for Medicare Fee-For-Service providers who may be subject to Recovery Auditor review in the 11 approved demonstration states: FL, CA, MI, TX, NY, LA, IL, PA, OH, NC, and MO. Recovery Auditors will review claims before they are paid to ensure that the provider complied with all Medicare payment rules. These reviews will focus on certain types of claims that historically result in high rates of improper payments. Initially, Recovery Auditors will review short stay inpatient hospital claims. This demonstration will also help lower the error rate by preventing improper payments, rather than the traditional "pay and chase" methods of looking for improper payments after they have been made.

During this ODF, CMS will provide an overview of the Recovery Auditor Prepayment Review Demonstration, including:

§ Why the Demonstration is being implemented;

§ How it will impact providers in the affected states;

§ Specific operational details regarding the reviews; and

§ Where to find additional information.

After the presentation, participants will have an opportunity to ask questions. Discussion materials for this Special ODF will be available to download on August 8.

Special Open Door Participation Instructions:

§ Dial: 866-501-5502 & Conference ID: 16834984

§ Note: TTY Communications Relay Services are available for the Hearing Impaired. For TTY services dial 7-1-1 or 800-855-2880. A Relay Communications Assistant will help.

A transcript and audio recording of this Special ODF will be posted to the Special Open Door Forum website and will be accessible for downloading beginning on or around August 16 and will be available for 30 days.

For automatic emails of Open Door Forum schedule updates (E-Mailing list subscriptions) and to view Frequently Asked Questions please visit the Open Door Forum website.