title: Hospital industry pushes back against the RACs.
abstract: Groups ranging from the American Hospital Association to the U.S. Congress have taken up the issues posed by the Recovery Audit Contractors and other Medicare and Medicaid auditors. The high percentage of denials overturned upon appeal and large number of records requests are getting attention. Hospitals may get relief, but it's not likely to be immediate so they should continue preparing for the audits. Meanwhile, in addition to the Recovery Audit Contractors (RACs), hospitals are facing scrutiny from the Zoned Program Integrity Contractors (ZPICs), Medicare Prepayment Reviews, and Medicare Administrative Contractor (MAC) on-site audits.
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S. / Q000191:economics*; D004469:Economics, Hospital; D007345:Insurance Claim Review / Q000191:economics*; D020416:Outsourced Services; D014481:United States