Recovery Audit Contractor (RAC)
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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
Fundamental reform of the RAC process is at the heart of an effective and permanent solution to the appeal backlog problem and will enable hospitals to get timely administrative review that clearly is required by the Medicare statute.
We are truly dismayed to see that despite the numerous legal defects that we identified in these audits, the OIG has proceeded to issue at least four new audit reports using extrapolation in the last month that include many of the same flaws.
The American Hospital Association (AHA) is writing to request clarification regarding how the appeals settlement offer, announced by the Centers for Medicare & Medicaid Services (CMS) on Aug. 29, 2014, impacts the contingency fees Recovery Audit Contractors (RACs) received for previously denied…
The American Hospital Association (AHA) wishes to express serious concerns about an increasing number of ―hospital compliance reviews‖ performed by the Office of Inspector General (OIG) Office of Audit Services in which the OIG has extrapolated audit findings to estimate Medicare overpayments to…
The Centers for Medicare & Medicaid Services ambiguous policy regarding observation stays leaves hospitals in an untenable position, the AHA said in a friend-of-the-court brief filed yesterday in the 2nd U.S. Circuit Court of Appeals.
AHA Urges Congress to Support RAC Reforms after Long Delays in Assignment of Hospital Appeals to ALJ
The need for fundamental RAC relief has become even more apparent and urgent by operational changes described in the attached memo from the Department of Health and Human Services’ Office of Medicare Hearings and Appeals (OMHA).
The RAC Burden: How a Well-Intentioned Federal Program Has Become a Drain on Hospitals