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RAC Appeals Process ‘Broken,’ AHA Says
Health Leaders Media

Overly aggressive and inappropriate audits and denials of hospital claims are holding up more than $1 billion in Medicare payments and the appeals process hospitals have pursued to overturn denials is mired in backlogs, contends The American Hospital Association. In a Jan. 14 letter to Marilyn Tavenner, administrator for the Centers for Medicare & Medicaid Services, the AHA pleads for fundamental changes to Medicare’s claims auditing system.

 

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