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POLITICO Pulse: Medicare Fraud Proposal Takes Lumps From Defenders of Contractors

 

POLITICO Pulse exposes the special interests driving RAC reform efforts in the House.

FROM POLITICO PULSE: 

It didn’t take long for the bipartisan harmony presented by the sponsors of the Medicare Audit Improvement Act to devolve into a mud fight. Primary sponsors, Rep. Sam Graves (R-Mo.) and Adam Schiff (D-Calif.), presented the bill as an effort to ease the administrative burden on small hospitals by restricting Medicare fraud contractors’ ability to make onerous document requests. But a chorus of critics has chimed in to tell PULSE it was a ploy. “Efforts in the House to change the Recovery Audit Contractor program in Medicare is a cynical [American Hospital Association]-driven attempt to gut the program,” a Senate health aide said in an email. The American Coalition for Healthcare Claims Integrity added, “[W]e are discouraged that once again efforts are afoot in Congress that would seek to take the teeth out of recovery programs.”

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