The American Hospital Association is welcoming a decision from the HHS Office of Inspector General to review the effectiveness of various Medicare contractors, including the Recovery Audit Contractors program.
The review is in IOG’s workplan document for fiscal 2013. “These programs auditing payment accuracy are well intentioned; no one questions the need for auditors to identify billing mistakes,” AHA notes in a letter to Inspector General Daniel Levinson. “But hospitals continue to be frustrated with the RACs’ considerable inaccuracy in determining whether the hospital received any overpayments.” They also are overwhelmed by the significant overlap and duplication of efforts among the RACs and CMS’s other contractors.”
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