BC Advantage - 2013 Issue 2

Recovery Auditors on the Hot Seat: Scrutiny Pouring in from Numerous Angles

By James CarrollOn October 16, it was reported that legislation was introduced by Representative Sam Graves (R-MO) that essentially aimed to reform Recovery Auditors (RA) through various financial penalties and program limitations. On November 1, news broke that the American Hospital Association (AHA) and four health systems filed suit in the U.S. District Court in Washington, DC, against the U.S. Department of Health and Human Services (HHS) for unfair Medicare practices pertaining to the Recovery Auditor program. Plaintiffs, the AHA, Missouri Baptist Sullivan Hospital (Sullivan, MO), Munson Medical Center (Traverse City, MI), Lancaster General Hospital (Lancaster, PA)...

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