It has been more than 2,400 years since Plato demanded to know who will watch the watchmen. The question is suddenly taking on a modern flavor, as nursing homes, hospitals, doctors and other providers line up to decry the practices of Recovery Audit Contractors.
Recovery Audit Contractors making incorrect accusations should also be penalized, the American Medical Association is telling lawmakers and regulators. Physicians, long-term care operators and other providers have long criticized the RAC system, which rewards the government's contracted investigators based on the volume of "improper payments" they point out.
The American Medical Association is expected to release recommendations soon for what physicians should be reimbursed for end-of-life medical consultations. The physicians group issues advisements regularly to the Centers for Medicare & Medicaid Services, which typically adopts them for its programs, the Pew Charitable Trust noted on Monday.
Provider groups are pushing Congress to replace the formula Medicare uses to reimburse physicians and eliminate other regulatory burdens.
Daily doses of aspirin in elderly adults can double the risk for developing the "wet" version of age-related macular degeneration (AMD), according to a new study.
With the comment period on accountable care organizations to the Centers for Medicare & Medicaid now over, stakeholders seem to be clear with one voice: While they agree with the concept of ACOs, they find the regulations too "burdensome."