Recovery Audit Contractor (RAC)
Mounting Pressure for America's Hospitals
The AHA strongly supports the Medicare Audit Improvement Act of 2013 (S. 1012), introduced by Senators Mark Pryor (D-AR) and Roy Blunt (R-MO).
On March 18, CMS issued an Administrators Ruling making immediate (but temporary) changes to its existing rebilling policy and a proposed rule, which would implement a permanent change.
The AHA strongly supports the Medicare Audit Improvement Act of 2013. It will provide needed oversight of CMS audit contactors and ensure the accuracy of Medicare and Medicaid payments.
Section 302 of the 2006 Tax Relief and Health Care Act required the Centers for Medicare & Medicaid Services (CMS) to implement a nationwide Recovery Audit Contractor (RAC) program by 2010.
Hospitals are experiencing a significant increase in audit activity by contractors for the Centers for Medicare & Medicaid Services (CMS).
The Centers for Medicare & Medicaid Services is facing increasing pressure from the president and Congress to reduce improper provider payments in Medicare and Medicaid.
Sample RAC demand letter that MACs will begin sending in 2012
The Centers for Medicare & Medicaid Services on November 15 announced a new Part A to Part B Rebilling Demonstration Project, and the agency will begin accepting hospital applications today at 2 p.m. Eastern Time at the email addresses listed on page two this advisory.