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House support grows for bill reforming Medicare audit system

July 26, 2013

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House support is growing for the AHA-backed “Medicare Audit Improvement Act,” H.R. 1250, which was introduced in March by Reps. Sam Graves, R-MO, and Adam Schiff, D-CA. The latest count shows 119 representatives endorse H.R. 1250. Sens. Mark Pryor, D-AR, and Roy Blunt, R-MO, last month introduced a Senate companion measure, S. 1012.

The legislation would establish annual limits on documentation requests from Medicare’s recovery auditor contractors (RAC), impose financial penalties on RACs if they fall out of compliance with program requirements, make RAC performance evaluations publicly available and allow denied inpatient claims to be billed as outpatient claims if necessary, among other measures. For example, the bill would limit the number of “additional document requests” to 2% of hospitals claims, with a maximum of 500 per 45 days. Pushing the legislation through Congress this year is a key part of the AHA’s advocacy agenda.

The following representatives support H.R. 1250. Is your representative on the list? If not, please urge your House member to endorse the bill.