AHA RAC Advocacy Resources

AHA Action Alerts Archive (Members Only)

Urge Your Senator to Support Amendments on RAC Provisions in Senate Committee on Finance Proposal, 6/1/15

AHA-Supported Bill Introduced to Make Needed Changes to RACs, 5/1/15 

Use New Resource To Garner Support for RAC Relief Legislation, 9/26/13

AHA-Supported Bill Introduced to Make Needed Changes to RACs, Other Audit Programs, 05/22/13

Sample Hospital Comment Letter for Proposed Rule on Hospital Part B Inpatient Rebilling, 04/09/13  

AHA Advisories


Member Advisory: The Medicare Appeals Process, 06/14/12 Members Only

Member Advisory: AHA Audit Education Series: Reducing Vulnerabilities to Payment Denials, 05/14/12 Members Only

Regulatory Advisory: Part A to Part B Rebilling Demonstration Project, 12/12/11 Members Only

Regulatory Advisory: Medicaid Recovery Audit Contractor Program: The Final Rule, 10/17/11Members Only

Member Advisory: RACTrac: Monitoring Medicare Recovery Audit Contractor Activity, 04/24/09 

Member Advisory: Medicare Recovery Audit Contractors (RACs): Permanent Program Basics, 04/20/09 Members Only

Regulatory Advisory: The Medicare Appeals Process, 03/27/09 Members Only

Regulatory Advisory: Recovery Audit Contractors (RACs): Coding & Documentation Strategies, 07/16/08 Members Only

Member Advisory: Recovery Audit Contractors (RACs): Preparing for RAC Audits, 03/03/08  Members Only  

AHA Bulletins (Members-Only)

HHS finalizes changes to Medicare appeals process 1/18/17

Senate Finance Committee Proposes Changes to Medicare Audits and Appeals, 6/1/15 

OMHA Announces Pilot Programs to Address Administrative Law Judge Appeals Backlog 07/08/14 

CMS Announces RAC Program Changes,  02/19/14

AHA RAC Lawsuit Documents

Rebilling Lawsuit: AHA/Hospitals Supplemental Brief (filed October 28, 2013)

   Government's Supplemental Brief

The Plaintiffs' Opposition to Defendant's Motion to Dismiss, June 27, 2013:  AHA, hospitals oppose government’s effort to dismiss rebilling lawsuit

Materials for the "AHA, Hospital Systems Sue HHS for Unfair Medicare Practices Complaint"

AHA, hospitals seek expedited proceedings in challenge of CMS RAC policy, 12/13/12

Special Bulletin: AHA files re-billing lawsuit, 11/01/12 Members Only

AHA RAC Policy Papers

2015 Advocacy Issue Paper

2014 Issue Brief

2014 Advocacy Issue Paper

2013 Advocacy Issue Paper

2012 Issue Paper: Program Integrity and Contractor Overlap

2011 AHA Policy Paper

RAC Research

TrendWatch: Program Integrity After the Enactment of Health Reform, May 2011

RAC Updates (Members Only)

HHS finalizes changes to Medicare appeals process 1/19/17

Court rejects HHS request to reconsider order to eliminate appeals backlog 1/06/17

CMS provides more detail on new RAC contracts 12/14/16

Court orders HHS to eliminate ALJ appeals backlog 12/7/16

CMS to detail hospital appeals settlement process soon 11/3/16

AHA asks court to order HHS to implement three appeals backlog solutions 10/20/16

AHA survey: 60% of RAC reviewed claims did not have an overpayment 10/6/16

Federal court denies HHS request for delay in Medicare appeals backlog case 9/21/16

CMS updates information related to pause of QIO short-stay reviews 8/4/16

HHS proposes changes to Medicare appeals process 6/30/16

CMS issues more information on pause of QIO two-midnight review 6/9/16

CMS pauses QIO two-midnight reviews 5/12/16

AHA survey: 6 in 10 RAC reviewed claims did not have an overpayment 3/3/16

AHA survey: Hospitals appeal half of RAC claim denials, 12/3/15

CMS announces RAC program improvements, 11/12/15

Federal court: CMS unlawfully imposed 0.2% two-midnight cut, 9/23/15

CMS extends two-midnight partial enforcement delay, 8/13/15  

AHA shares views on MedPAC proposals on RACs with House panel, 7/23/15

CMS proposes changes to two-midnight policy, 7/9/15

CMS updates Medicare appeals settlement numbers, 6/17/15

Finance Committee approves chairman’s mark of audit and appeal bill 6/4/15

AHA testifies at hearing on hospital observation stays 5/21/15

AHA urges Congress to enact RAC reforms 5/14/15

Representatives introduce AHA-supported bill to improve RAC program 5/1/15

Partial delay in enforcement of two-midnight policy extended through Sept. 30, 4/16/15

CMS extends delay on RAC enforcement of two-midnight policy, 4/2/15

RAC contract provision would violate federal law, appeals court rules, 03/18/15

AHA urges CMS to propose solutions for hospital short stays in FY 2016 IPPS rule, 02/19/15

Obama's HHS budget request includes proposals to address Medicare appeals, 2/5/15

OMHA seeks comments on how to address ALJ backlog, 11/6/14

Friday is the deadline for hospitals to respond to CMS on appeals settlement offer, 10/30/14

CMS shares new info for hospitals evaluating appeals settlement offer 10/16/14

AHA, hospitals ask court to compel HHS to comply with mandatory deadlines, 10/9/14

CMS says RACs allowed to begin some complex audits, 10/02/14

AHA to CMS: Be clear about RAC fee under appeals settlement offer, 09/25/14

AHA releases tool for hospitals to evaluate CMS appeals settlement offer, 9/19/14

Brady questions CMS proposal to address short-stay appeal backlog, 9/17/14

CMS releases proposal to address short-stay appeal backlog, 9/4/14

GAO to CMS More Oversight and Guidance Needed for Audits, 8/14/14

CMS announces limited restart of RAC reviews, 8/5/14

Senate committee report, AHA urge changes to audit programs, 7/10/14

Support AHA/hospitals’ litigation for timely ALJ review of Medicare claim denials,  6/19/14

Click here for the RAC Update Archive

RACTrac Reports 

Click here to view the latest RACTrac Reports.


AHA Statement before the Senate's Special Committee on Aging: "Improving Audits: How We Can Strengthen the Medicare Program for Future Generations"


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