News: Congress to CMS: Reform Recovery Auditor processes
February 27, 2014
CDI Strategies - Volume 8, Issue 5
In a letter to CMS, more than 100 members of the House of Representatives asked the agency to consider “an alternative payment arrangement with [Recovery Auditors, formerly known as RACs] to ensure RACs are not improperly incentivized to deny claims for profit,” according to the American Hospital Association.
The letter also cites a 2012 OIG report which states that high level appeals of Recovery Auditor determinations are generally overturned.