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GAO: Standardizing Medicare prepayment audits could save millions
Modern Healthcare

The Government Accountability Office says the CMS could potentially save tens of millions of dollars a year by standardizing how Medicare payments to hospitals and physicians are audited before the bills are paid—a recommendation likely to irk healthcare providers. Medicare administrative contractors are already supposed to be using a form of auditing known as “prepayment review,” and the more controversial recovery audit contractors were slated to begin a long-stalled prepayment review demonstration project on Aug. 27.

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