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Category : Press Release

Hearing Clarifies Key RAC Misconceptions

  FOR IMMEDIATE RELEASE June 25, 2014 Hearing Clarifies Key RAC Misconceptions Hearings Integrity Contractors echo calls for increased Medicare oversight Washington, D.C. – The American Coalition for Healthcare Claims Integrity (ACHCI) issued a statement regarding today’s hearing, Medicare Program Integrity: Screening Out Errors, Fraud, and Abuse, held by the U.S. House of Representatives Energy and Commerce Subcommittee on Oversight and Investigations, led by Chairman Tim Murphy (R-PA): “During today’s hearing, Deputy Administrator for the Centers for Medicare and Medicaid Services Center for […]

OIG: Medicare Needs More Oversight

  FOR IMMEDIATE RELEASE May 29, 2014 OIG: Medicare Needs More Oversight Three reports detail impact of Medicare improper payments, low rate of appeals due to RACs, and high rate of billing errors related to inpatient claims Washington, D.C. – The Department of Health and Human Services Office of Inspector General (OIG) released three reports this week detailing the agency’s financial status, the impact of improper payments, and the ongoing need for oversight of inpatient Medicare claims, respectively. Together, the […]

Hearing Highlights: Dr. Ellen Evans Discusses Ways to Improve Medicare Integrity

  On May 20, 2014, the U.S. House of Representative Ways and Means Subcommittee on Health held a hearing about hospitals and the Recovery Audit Contractor (RAC) program, Medicare’s flagship integrity initiative. Dr. Ellen Evans, Medical Director for Health DataInsights, a technology company specializing in program integrity, testified about the evolution of the RAC program, its high level of accuracy and transparency, and ways to improve Medicare oversight. Here are highlights from her testimony:   Evolution & Success of the […]

Coalition Applauds Committee Efforts to Bolster Medicare Integrity

  FOR IMMEDIATE RELEASE May 20, 2014 Coalition Applauds Committee Efforts to Bolster Medicare Integrity Hearings underscore value of the Recovery Audit Contractor program, importance of collaboration among all Medicare stakeholders in protecting program resources Washington, D.C. – The American Coalition for Healthcare Claims Integrity (ACHCI) today issued a statement regarding two hearings held by the U.S. House of Representatives Ways and Means Subcommittee on Health and the House Oversight and Government Reform Committee. The hearings focused on current hospital […]

Oversight Holiday Triggers Sharp Decline in Recoveries to the Medicare Trust Fund

  FOR IMMEDIATE RELEASE April 30, 2014 Oversight Holiday Triggers Sharp Decline in Recoveries to the Medicare Trust Fund Six months into RAC program ‘pause’, recoveries to the Medicare Trust Fund decrease dramatically  Washington, D.C. – The Recovery Audit Contractor (RAC) program corrected $737 million in improper payments in the second quarter of fiscal year 2014, according to a new report from the Centers for Medicare and Medicaid Services, comprising the lowest quarterly recovery rate in the past twelve months – a downward […]

OIG: RACs Made ‘Largest Improvement’ of Any Healthcare Integrity Initiative in FY2013

  FOR IMMEDIATE RELEASE April 22, 2014 OIG: RACs Made ‘Largest Improvement’ of Any Healthcare Integrity Initiative in FY2013   Report lauds nearly $500 million increase in recoveries by RAC program, notable progress toward combating Medicare waste, fraud and abuse Washington, D.C. – The American Coalition for Healthcare Claims Integrity (ACHCI) today issued a statement regarding a new report from the Department of Health and Human Services Office of Inspector General on improper payments. According to the report, Recovery Audit Contractors […]

Congress Sanctions Loss of Billions to Waste, Fraud and Abuse

  FOR IMMEDIATE RELEASE March 31, 2014 Congress Sanctions Loss of Billions to Waste, Fraud and Abuse     ‘Doc Fix’ legislation absolves inpatient hospitals of Medicare oversight for 18 months, Sets precedent of using RAC program as ‘bargaining chip’ for special interest groups Washington, D.C. – The American Coalition for Healthcare Claims Integrity (ACHCI) today issued a statement regarding the passage of the Protecting Access to Medicare Act of 2014 (H.R. 4302). The law extends the moratorium on the Recovery Audit Contractor […]

Coalition Urges Senate to Amend ‘Doc Fix’ Bill, Remove Anti-Oversight Provision

  The American Coalition for Healthcare Claims Integrity today sent the following letter to the U.S. Senate, urging lawmakers to amend the ‘doc fix’ bill, scheduled for a vote this afternoon. If passed in its current form, the legislation would absolve inpatient hospitals – which account for 91% over-billings to Medicare – from auditing by the Recovery Audit Contractor (RAC) program. March 31, 2014 The Honorable Harry Reid United States Senate Washington, D.C. 20004 Dear Sen. Reid, Last week, House lawmakers introduced […]

Coalition: In Doc Fix Deal, Congress ‘Absolves’ Hospitals of Billions in Medicare Waste

  FOR IMMEDIATE RELEASE March 27, 2014 Coalition: In Doc Fix Deal, Congress ‘Absolves’ Hospitals of Billions in Medicare Waste   SGR patch would halt majority of Medicare auditing through March 2015, ensure loss of billions to waste, fraud and abuse Washington, D.C. – The American Coalition for Healthcare Claims Integrity (ACHCI) today issued a statement regarding the proposal  to extend the moratorium on the Recovery Audit Contractor (RAC) program through March 2015. With this extension, RACs would not be able to audit inpatient […]

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 […]