Medicare revenue cycle audit contractors are continuing a public fight against the Centers for Medicare and Medicaid Services evolving policies for audit programs, particularly the Recovery Audit Contractor program.
In January, CMS announced it would suspend appeals to administrative law judges of RAC decisions for up to two years to reduce a huge backlog of claims. The American Coalition for Healthcare Claims Integrity, representing RACs and other health payment contractors working for government agencies, fired off a letter to members of Congress asking for reform of the administrative law judge process and to oppose further efforts to restrict the RAC program.
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