In filing suit against the Department of Health and Human Services for refusing to make Medicare payments on care that hospitals contend is proper, the American Hospital Association has launched an assault on the Recovery Audit Contractors program.
In the suit, filed Nov. 1 in U.S. District Court in the District of Columbia and available here, the AHA charges that RACs have taken upon themselves, and not “the expert judgment of the attending physician,” to judge the medical necessity of a hospitalization, often for treatments months or years old.
Register or login for access to this item and much more
All Health Data Management content is archived after seven days.
Community members receive:
- All recent and archived articles
- Conference offers and updates
- A full menu of enewsletter options
- Web seminars, white papers, ebooks
Already have an account? Log In
Don't have an account? Register for Free Unlimited Access