The Inpatient DRG Recovery Audit provides a means for VA to recover overpayments made to community providers for Fee-basis inpatient care. The first Recovery Audit (RA) contract was awarded in December 2000 for inpatient claims from October 1, 1994, to September 30, 2002. Abacus Technologies was the contractor responsible for reviewing the claims.
The data required to conduct the initial review will be provided to the Contractor from the VA central database. Following an initial review, the Contractor will select cases for intensive auditing to determine:
Excluded from the contract are payments related to outpatient professional services, domiciliary, State Home and contract nursing homes.
Inquiries on this contract should be referred to the program manager, Catherine Wasson, at 303-331-7516. Written inquiries may be referred to Ms. Wasson at: Department of Veterans Affairs, Health Administration Center, P.O. Box 469060, Denver, CO 80246-9060.