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Category : Press Release

CMS REPORT: RACs Recovered $2.3 Billion in FY2012

  FOR IMMEDIATE RELEASE March 25, 2014   CMS REPORT: RACs Recovered $2.3 Billion in FY2012   Medicare integrity contractors nearly triple recoveries to Medicare Trust Fund, achieve accuracy rating of 96% and maintain low rate of provider appeals Washington, D.C. – The Centers for Medicare and Medicaid Services (CMS) today released its annual Recovery Audit Contractor (RAC) report to Congress, detailing the results of the RAC program in FY2012. According to the report, RACs recovered $2.3 billion in misused Medicare […]

Coalition Opposes New ‘Two-Midnight’ Senate Bill

  FOR IMMEDIATE RELEASE March 7, 2014 Coalition Opposes New ‘Two-Midnight’ Senate Bill  ACHCI urges lawmakers to oppose hospital-driven efforts to eliminate Medicare oversight  Washington, D.C. – The American Coalition for Healthcare Claims Integrity (ACHCI) today issued a statement regarding the Two-Midnight Rule Coordination and Improvement Act (S. 2082), introduced by Senators Robert Menendez (D-NJ) and Deb Fischer (R-NE). The bill proposes changes and additional enforcement delays to the Centers for Medicare and Medicaid Services (CMS) Two-Midnight Rule, as well […]

Coalition Applauds Chairman Pitts for Efforts to Improve Medicare Integrity

  FOR IMMEDIATE RELEASE March 4, 2014 Coalition Applauds Chairman Pitts For Efforts to Improve Medicare Integrity  ACHCI supports committee’s call to increase reporting on waste, fraud and abuse, improve transparency among Congress, beneficiaries and contractors Washington, D.C. – The American Coalition for Healthcare Claims Integrity (ACHCI) issued a statement following the U.S. House Energy and Commerce Subcommittee on Health hearing, “Keeping the Promise: How Better Managing Medicare Can Protect Seniors’ Benefits and Save Them Money,” chaired by Rep. Joe […]

In Advance of Hearing, Coalition Urges Congress to Bolster Medicare Oversight

  The American Coalition for Healthcare Claims Integrity today sent the following letter to members of the House Energy & Commerce Subcommittee on Health in advance of the hearing, “Keeping the Promise: How Better Managing Medicare Can Protect Seniors” to be held March 4, 2014. The letter highlights recent actions by healthcare officials that significantly impair Medicare oversight, along with recommendations on how to bolster Medicare integrity. Feb. 27, 2014 The Honorable Joe Pitts Chairman, Energy & Commerce Committee, Subcommittee […]

CMS Brings RAC Program to Grinding Halt

  FOR IMMEDIATE RELEASE February 20, 2014 CMS Brings RAC Program to a Grinding Halt Officials halt RAC documentation requests starting Feb. 21, leave status of Medicare Trust Fund, taxpayers and healthcare system in limbo Washington, D.C. – The American Coalition for Healthcare Claims Integrity today released a statement regarding the announcement from the Centers for Medicare and Medicaid Services (CMS) to bar Recovery Audit Contractors (RACs) from requesting medical records from providers starting Feb. 21, while the agency transitions to the […]

CMS Report: Medicare RACs Saved $3.7 Billion for Taxpayers in 2013

  FOR IMMEDIATE RELEASE February 19, 2014 CMS Report: Medicare RACs Saved $3.7 Billion for Taxpayers in 2013 Medicare integrity contractors return record $1.4 billion to the Medicare Trust Fund in Fourth Quarter Washington, D.C. – The Centers for Medicare and Medicaid Services (CMS) today released the Medicare Fee-for-Service Recovery Audit Program report for the fiscal fourth quarter 2013. According to the report, Recovery Audit Contractors (RACs) found $1.4 billion in improperly billed Medicare funds between July and September 2013, bringing total […]

Medicare Appeals Forum Spotlights Inefficiency of Medicare Appeals Process

  FOR IMMEDIATE RELEASE February 13, 2014 Medicare Appeals Forum Spotlights Inefficiency of Medicare Appeals Process ACHCI echoes provider concerns, urges immediate ALJ Reform Washington, D.C. – The American Coalition for Healthcare Claims Integrity (ACHCI) today issued a statement regarding the information and insights shared at the Office of Medicare Hearings and Appeals (OMHA) appellant forum on Feb. 12, 2014. OMHA officials used the day-long forum to explain the rationale behind the recent suspension of Medicare appeals assignments, and to solicit […]

Coalition Calls on Congress to Examine Suspension of RAC Program, Bolster Medicare Oversight

  FOR IMMEDIATE RELEASE February 3, 2014 Coalition Calls on Congress to Examine Suspension of RAC Program, Bolster Medicare Oversight Year-long moratorium will cost $4 billion; ACHCI proposes alternative solution Washington, D.C. – The American Coalition for Healthcare Claims Integrity today sent a letter to Congress regarding the decision by the Centers for Medicare and Medicaid Services (CMS) to extend the two-midnight rule delay and suspend a large portion of Medicare audits through Sept. 30, 2014.  The letter, which was sent […]

Open Letter to Congress: Examine Suspension of RAC Program

  The American Coalition for Healthcare Claims Integrity today sent the following letter to members of the House Oversight and Government Reform Committee, Senate Homeland Security and Governmental Affairs Committee and Senate Finance Committee. The letter urged lawmakers to investigate CMS’s suspension of the Recovery Audit Contractor (RAC) program, in light of Medicare’s overwhelming volume of waste, fraud and abuse. The decision by CMS conflicts with the agency’s website, which states that RACs are reviewing claims filed up to three years […]

Coalition to HHS: Fix the RAC Appeals Process

  FOR IMMEDIATE RELEASE January 21, 2014 Coalition to HHS: Fix the RAC Appeals Process ACHCI urges Congress to reform the RAC appeals process, preserve Medicare’s top integrity program Washington, D.C. – The American Coalition for Healthcare Claims Integrity today submitted the following statement regarding the decision by the Department of Health and Human Services (HHS) to no longer accept certain appeals of Recovery Audit Contractor (RAC) Program decisions. Citing a backlog of 357,000 existing cases, HHS said it will […]