The need for fundamental RAC relief has become even more apparent and urgent by operational changes described in the attached memo from the Department of Health and Human Services’ Office of Medicare Hearings and Appeals (OMHA).
Letters
Throughout the year, the AHA comments on a vast number of proposed and interim final rules put forth by the federal regulatory agencies. In addition, AHA communicates with federal legislators to convey the hospital field's position on potential legislative changes that would impact patients and patient care. Below are the most recent letters from the AHA to these bodies.
Latest
AHA Urges Congress to Support RAC Reforms after Long Delays in Assignment of Hospital Appeals to ALJ
Delays of at least two years in granting an ALJ hearing for an appealed claim are not only unacceptable, they are a direct violation of Medicare statute that requires ALJs to issue a decision within 90 days of receiving the request for hearing.
MedPAC indicated that it will not consider the impact of sequestration in its update process until next year, for its FY 2016 recommendations. The AHA is extremely troubled by this framework, which represents an inaccurate and misleading picture of Medicare payments and provider margins.
America’s hospitals strongly oppose a Senate proposal to cut funding for seniors’ Medicare to pay for extended unemployment benefits. While we do not oppose the extension of these benefits, we do oppose using Medicare reductions to pay for non-Medicare related spending
AHA's comment on the Centers for Medicare & Medicaid Services’ hospital inpatient prospective payment system (PPS) proposed rule for fiscal year (FY) 2014.
AHA's comments on the Department of Health and Human Services Office of Inspector General’s (OIG) proposed rule that would extend the regulatory protections under the federal antikickback law for hospitals that want to provide assistance to physicians in adopting certain health information technology (IT).
AHA's comments on the CMS proposed rule that would extend the regulatory protections under the federal physician self-referral or Stark law for hospitals that want to provide assistance to physicians in adopting certain health information technology (IT).
AHA Comments on FTC and DOJ Proposed Statement of Antitrust Enforcement Policy Re: Accountable Care Organizations.
Comments to NIST on draft test procedure for evaluating EHR conformance to quality measure reporting
To ensure accurate quality measurement, we believe the National Institute of Standards and Technology (NIST) should revise the draft test procedure to meet the following criteria.