2/6/2014

The American Coalition for Healthcare Claims Integrity, which represents recovery audit and other health payment contractors, is protesting new policies by the CMS that limit the RAC program, including suspending appeals to administrative law judges and more recently delaying enforcement of a rule that would deny in-patient reimbursement for hospital stays that do not span two midnights. The coalition has asked Congress to immediately reinstate auditing, saying that 70% to 80% of the RAC program has been suspended, essentially shutting it down, a coalition representative says. The American Hospital Association has expressed support for the enforcement moratorium by the CMS.

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