CMS may extrapolate audit findings to all RADV-eligible beneficiaries in the MAO’s contract, beginning with payment year (PY) 2018. The Final Rule did not state that extrapolation is mandatory ...

By using extrapolation and assuming the average level of audit findings per contract holds constant ($9.5 million in overpayment per audited contract), CMS estimates that it will recover, over the ...

At the American Health Lawyers Association’s Institute on Medicare and Medicaid Payment Issues conference, CMS said recovery audit contractors will be encouraged to extrapolate overpayments ...