Transcription of Understanding Audit Error Rates: How are we doing?
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Understanding Audit Error Rates: How are we doing?
4/1/20131 Understanding Audit ErrorRates: How are we doing? Tim Renjilian FTI Consulting Sara Kay WheelerKing & Spalding LLPA pril 22, 20132 PresentersSara Kay WheelerPartnerKing & Spalding LLP1180 Peachtree St., NEAtlanta, GA 30309 Phone: (404) 572-4685E-mail: Renjilian Senior Managing DirectorFTI Consulting 1201 W. Peachtree 500 Atlanta, GA 30309 Phone: (404) 460-6222E-mail: Enforcement / Oversight Landscape Audit Design & Error Rate Considerations What Is An Acceptable Error Rate? Interpreting External Error Rate Benchmarks Analyzing Internal Error Rates Additional Considerations Questions 4 Enforcement / Oversight Landscape4/1/201335 Error Rate Game ChangersError Rates Error -Prone ProvidersExtrapolation Escalating FraudEnforcement Increased Investigativeand Audit Funding Medicare & MedicaidContractors Overpayment Enforcement Medicaid & MedicareRACSMFCUsMCOsMedicaidIGCMS ProposedRule onOverpayments Payment SuspensionZPICsIncreasedGovernment Expectations Frequent Filers 6 Healthcare Enforcement and Oversight Landscape Pressure from Congress to identify fraud, waste and abuse in deficit reduction efforts Technology and resources improving Continued efforts to identify baseline Error and over
4/1/2013 4 7 Contractors • Federal and state governments outsourcing oversight responsibilities • Greater number of private companies authorized
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