title: CMS calls a temporary halt to the RA program.
abstract: The Recovery Auditors (RA) have been prohibited from issuing new post-payment Additional Document Requests since February but can conduct automated reviews until June 1. CMS is revamping the RA program and will award new contracts to auditors at an undetermined point in the future. Contract changes include fewer records requests for hospitals with low denial rates and postponing RA fees until the second level of appeal. Meanwhile, hospitals still have to comply with records requests issued before February.
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S.; D004469:Economics, Hospital; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D007349:Insurance, Health, Reimbursement / Q000191:economics; D013997:Time Factors; D014481:United States