PAI Advocates Reform of Medicare RAC Program

The Physicians Advocacy Institute (PAI) recently sent comments to the chair of the Health subcommittee of the House Ways and Means Committee, outlining critically needed reforms to the Medicare Recovery Audit Contractor (RAC) program. North Carolina Medical Society (NCMS) CEO Robert W. Seligson serves as PAI’s President and signed the letter to Rep. Kevin Brady.

Since its inception eight years ago, PAI has focused considerable attention on helping physicians navigate the audit process more effectively, including providing tools to help them avoid common coding and documentation errors, which are often identified in audits. Still, the current RAC audit process is fundamentally flawed. In his letter, Seligson outlines five significant problems as well as policy recommendations and draft legislative language for reform of the program. Read the letter.

NCMS’ involvement with PAI offers NCMS members a strong platform to advocate for meaningful reform of federal programs. The mission of PAI is to advance fair and transparent payment policies and contractual practices by payers and others in order to sustain the profession of medicine for the benefit of patients. Visit the PAI website.


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