American Hospital Association

Medicare RAC recoveries down 22% due to program cuts

July 11, 2014 - The ongoing suspension of Medicare Recovery Audit Contractors’ (RACs) ability to monitor and audit claims has produced a 22% decline in funds recovered by the program, says a new report from CMS.  In the third quarter of fiscal year (FY) 2014, the RAC program corrected $572 million in improper Medicare payments, including $100.4 million in underpayments that were returned to providers....


Articles

Complex denials, appeals in RAC process costing hospitals

The purpose of the Recovery Audit Program and its Recovery Audit Contractors (RACs) is to identify Medicare overpayments and underpayments across the country, but according to a survey of hospitals by the American Hospital Association (AHA),...

AMA high, AHA low on CMS Stage 2 Meaningful Use exception

The final day of HIMSS14 was expected to be an important one, especially for anyone following the comments from the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology...

Congress raises concerns about HHS handling of RAC program

The handling of the Recovery Audit Contractor (RAC) program by the Department of Health & Human Services (HHS) has raised concerns among members of Congress. A total of 111 members of the House of Representatives have subscribed their signatures...

AHA urges CMS to remedy process for appealing RAC audits

The American Hospital Association is asking the Centers for Medicare & Medicaid Services (CMS) to look into the handling of hearings to contest payment denials by Medicare Recovery Audit Contractors (RACs). In a letter to CMS Administrator...

AHA study finds billions in Medicare, Medicaid underpayments

The American Hospital Association (AHA) released a factsheet with the findings of its most recent Annual Survey of Hospitals. According to the gathered data, hospitals were underpaid by $56 billion in 2012, with Medicare accounting for $42.3...

AHA offers recommendations for NIST Cybersecurity Framework

The American Hospital Association has issued comments in response to a request for comments on the preliminary cybersecurity framework developed by the National Institute of Standards and Technology (NIST), urging the latter to ensure that the...

AHA wants reforms for quality measures, clinical integration

In a letter to the House Committee on Ways and Means and Senate Finance Committee, the American Hospital Association has provided its recommendations for resolving current problems with the Medicare payment system for physicians. “While...

Suspension of RAC audits could cost Medicare $2 billion

When the Center for Medicare and Medicaid Services (CMS) announced a suspension of Recovery Audit Contractor (RAC) reviews last month, it was only slated to last from October 1, 2013 until January 1, 2014.  This week, however, the CMS website...

How hospital mergers affect healthcare reform expectations

There is great uncertainty among healthcare officials when considering the effects of increased hospital consolidation. Proponents of hospital mergers emphasize that such a refashioning of the industry will result in lower costs and greater efficiency....

AHA supports bill to improve Medicare audits, work of RACs

The American Hospital Association (AHA) applauding the sponsoring of a new bill to improve the work of Medicare Recovery Audit Contractors (RACs). In a letter to Senator Roy Blunt (R-MO), sponsor of Medicare Audit Improvement Act of 2013 (S....

AHA urges CMS, ONC to avoid additional HIE requirements

In response to the Request for Information regarding “Advancing Interoperability and Health Information Exchange,” the American Hospital Association (AHA) has identified areas where the Centers for Medicare & Medicaid Services (CMS) and...

AHA to CMS: Meaningful use shows problems of reporting CQMs

In response to a request for information (RFI) on the electronic reporting of clinical quality measures (CQMs) issued by the Centers for Medicare & Medicaid Services, the American Hospital Association (AHA) has highlighted several obstacles...

AHA on Medicare cuts: Don’t do more with less, just do better

Richard Umbdenstock, CEO of the American Hospital Association (AHA), addressed falling hospital reimbursements tied to a slashed Medicare budget and upcoming sequestration cuts in Nashville this week, urging hospitals to make the most of what...

AHA says hospitals are not ready to report electronic CQMs

On February 1, the American Hospital Association (AHA) sent a letter to Acting CMS Administrator Marilyn Tavenner in response to the agency’s request for information (RFI) on hospital and vendor readiness for EHR inpatient quality reporting. ...

AHA, AAHC challenge meaningful use, payment fraud accusations

In response to the September 24 letter from the Department of Justice (DoJ) and Health & Human Services (HHS) claiming providers are abusing meaningful use incentives and Medicare reimbursements, leaders of the Association of Academic Health...

AHA questions AHRQ quality measure timing

According to the American Hospital, slow and steady wins the race when dealing with electronic reporting of quality measures. In response to the Agency for Healthcare Research and Quality (AHRQ) “Request for Information on Quality Measurement...

AMA and EHRA weigh in on Stage 2

Last week, when the American Hospital Association issued its comments to the Centers for Medicare & Medicaid Services (CMS) on the proposed final rule for Stage 2 Meaningful Use, critics were vocal in their reproach of the group’s apparent...

Continue to site...


X

EHRIntelligence

Sign up for our free newsletter and join 60,000 of
your peers to stay up to date with tips and advice on:

Meaningful Use
ICD-10
EHR Replacement

Our privacy policy

no, thanks