"The system costs too much. We in the healthcare industry are doing the work to address that. But this to me is a blunt-force instrument to accelerate the process in a way that hurts legitimate beneficiaries.
The AHA also wants CMS to:
In his letters to CMS and Congress, Pollock says CMS should suspend RAC audits "until all levels of the determination and appeals process catch up with their current workloads," allowing time for claims that have already been audited to work their way through the process.