The battle over the fairness of the Medicare Recovery Audit Contractor program is heating up, as 111 bipartisan members of Congress have sent a letter to Health and Human Services Secretary Kathleen Sebelius.

In recent months, the American Hospital Association and American Medical Association have ramped up their grievances about the program, and even RAC contractors are fighting Medicare over its enforcement delay of the two-midnight payment rule and the suspension of appeals to clear a huge backlog. And now, Congress is strongly suggesting that changes be made in the RAC program.

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