The legislative duo of Representatives Sam Graves (R-Mo.) and Adam Schiff (D-Calif.) has done it again.

They have introduced for the second time legislation to reform the Recovery Auditor Contractor (RAC) program. House of Representatives (H.R.) bill 2156, sets out to change the RAC payment structure from the contingency payment plan to a flat fee. In addition, the proposed legislation would impose penalties against the RACs if large numbers of their claims are overturned on appeal. The bill would also allow hospitals to rebill claims when deemed appropriate. And, finally, more good news: the RACs could only based their auditing on information on the physician/patient encounter at the time of the visit.

We’ll continue to monitor H.R. 2156.

Share This Article