In the one-page advertorial, AHA President and CEO Rich Umbdenstock said there are four separate federal programs that “conduct redundant reviews” of hospital payments to identify and false claims or improper billing patterns.
“If Recovery Audit Contractors believe a patient should have been treated in an outpatient facility rather than being admitted, the hospital must return payment — even if everyone agrees the care was necessary,” Mr. Umbdenstock wrote. “Hospitals prevail at least 75 percent of the time when they appeal these decisions, but each appeal costs even more time and money that could go to patient care.”
Mr. Umdenstock also pointed to federal and legal scrutiny over hospital-physician relationships, something he said stifles improvements to care coordination.
More Articles on the American Hospital Association:
AHA Seeks Quicker Review of RAC Lawsuit
American Hospital Association Testifies on Financial Assistance Rules
AHA Presses Congress to Preserve Charitable Tax Deduction
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit
