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Calling on Congress to right the RACs

November 8, 2013


The AHA is pressing for changes in the Medicare Recovery Audit Contractor (RAC) program before the courts, Congress and the Centers for Medicare & Medicaid Services. Grassroots advocacy is a big part of our legislative push, and AHA Advocacy Day meetings offer hospitals and health systems an opportunity to reinforce the AHA’s RAC message before Congress.

Many hospital leaders took advantage of the AHA’s Oct. 29 Advocacy Day meeting to take their case for RAC relief to their legislators. In meetings on Capitol Hill, they argued that hospitals are drowning in redundant audits, unmanageable medical record requests and inappropriate payment denials; that RACs waste hospital resources and contribute to growing health care costs; and that the auditors receive contingency fee payments, a potential conflict of interest.

Hospital leaders urged legislators to support the “Medicare Audit Improvement Act,” H.R. 1250/S. 1012, which would restructure the way RACs and other Medicare auditors can review providers. Many also shared with their legislators a recently released AHA video that describes how RACs function, explains key problems with the way RAC auditors operate and highlights various hospital experiences with the RAC program. To watch the video, tune in here.

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