Medicare Audit Improvement Act

Comments continue to arrive regarding last week’s RACmonitor article about the Medicare Audit Improvement Act, introduced last Wednesday.

I am not surprised to see is that this was initiated in New York.  Irrespective of your political affiliation, you have to admit that the state of New York is a consumer-oriented state, as evidenced by then OAG Andrew Cuomo’s action and subsequent settlement with United Healthcare over their out-of-network payment schemes.  But just as occurred after the settlement, where payers found a way around having to abide by the settlement terms, I am suspicious that, with this much money at stake, the RAC’s will do the same. Frank Cohen, MPA, senior analyst for The Frank Cohen Group.