New Medicare RAC Bill

Medicare RAC Congressional Bill

A new Congressional bill, the Audit and Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015,  “provides for 119 new administrative law judge (ALJ) teams.”

But this does not solve the Medicare RAC backlog problem.

As Bob Soltis points out in Rac Monitor,

  • “Needing some work is its proposal to remand files back to the Medicare Administrative Contractor (MAC) if new evidence is submitted to the ALJ or the Medicare Appeals Council while allowing the Centers for Medicare & Medicaid Services (CMS) and its contractors an exception to the mandatory remand. Why not make CMS offer its evidence with its denial letters? Of further concern is U.S. Sen. John Thune’s amendment making Medicare magistrates contractors instead of federal employees.”

Read more about the activities, and what you can do, in When the RACSs Attack? Write your Congressman and Fight Back!