The AHA yesterday urged the Medicare Payment Advisory Commission to consider certain changes to its draft recommendations for the Recovery Audit Contractor program. The association supports the draft recommendation for the Centers for Medicare & Medicaid Services to base each RAC’s contingency fees in part on its denial overturn rate, but does not believe the other draft recommendations for the RAC program would achieve the stated goal of relieving hospital administrative burden, wrote Linda Fishman, AHA senior vice president for public policy analysis and development. AHA continued to urge the commission to support five other changes to the program. In addition, AHA urged the commission to consider alternative designs before making a short-stay payment policy recommendation; to analyze the justification for CMS’s 0.2% reduction to the standardized amount in the fiscal year 2014 final rule related to the two-midnight policy; and to better define the parameters around its draft recommendation for notice of observation status; among other recommendations. “We also appreciate the commission’s reluctance to make recommendations about the 340B program,” the letter states, calling the program “critical to the financial viability of its participants. It creates savings on outpatient drug expenditures to reinvest in patient care and health activities to benefit communities, and saves money for state and federal governments.” The commission is expected to vote on recommendations for its June report when it meets Thursday and Friday.

Related News Articles

Headline
The Department of Health and Human Services today finalized its strategy to reduce regulatory and administrative burdens for health care providers using…
Headline
Beginning in March, the Centers for Medicare & Medicaid Services will implement a streamlined survey and certification process for psychiatric hospitals,…
Headline
The Centers for Medicare & Medicaid Services today issued final rules reducing some regulatory burdens for providers participating in the Medicare and…
Headline
To deliver higher quality care at lower costs, we must move from fee-for-service payments to “a system in which we’re paying providers to keep people healthy,…
Headline
The AHA today proposed additional actions that the Centers for Medicare & Medicaid Services could take immediately “to reduce the regulatory burden on…
Headline
The Centers for Medicare & Medicaid Services yesterday released a proposed rule that would revise certain requirements for long-term care facilities, such…