June 28, 2013

Overzealous RACs

Rich Umbdenstock, AHA President and CEO

Senators got an earful this week about redundant government auditors, unmanageable medical record requests and inappropriate payment denials when the Finance Committee held a hearing on Recovery Audit Contractors (RACs). Thanks to Billings (MT) Clinic and Intermountain Healthcare in Salt Lake City for providing compelling testimony. The AHA submitted a statement for the record enumerating the burden to hospitals of increased audit activity and problems with ongoing inappropriate payment denials. We urged passage of the Medicare Audit Improvement Act, which, among other things, would keep auditors out of medical decisions and limit burdensome document requests. And we are continuing with our amended lawsuit against the Centers for Medicare & Medicaid Services to challenge the agency’s continuing refusal to pay for certain claims denied by RACs. We need your help with securing co-sponsors on H.R. 1250, which currently has 88 co-sponsors (38 Democrats; 50 Republicans), and S. 1012, which currently has two co-sponsors (1 Democrat; 1 Republican). Bring examples of overzealous RACs to the attention of your Members of Congress and let them know how the RAC legislation will help hospitals back home.


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