Advocacy News
May 22, 2012

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AAOS Staff Confers with HHS Secretary Sebelius on MAC & RAC Audits

Bonefied News

AAOS Expresses Concerns Regarding Stage 2 Meaningful Use Rule

Bipartisan SGR Repeal Introduced in House

Health and Human Services Secretary Kathleen Sebelius Responds to AAOS’s 5010 Concerns

Sunshine Act Delayed in Response to Stakeholder Feedback

FDA Reauthorization Bills Continue to Move through Congress

AAOS Launches Two New Webpages

U.S. Department of Justice and U.S. Attorney’s Office Close Investigation of Medtronic Inc.

AAOS Attends Ambulatory Care Meeting

Veterans Affairs Subcommittee Question New VHA Prosthetic Procurement Plan

HHS Releases Health Insurance Exchange Guidance

Orthopaedic PAC to Host Telephone Town Hall Featuring Senator John Barrasso

Thank You to All of Our Orthopaedic Political Action Committee (PAC) Contributors!

 
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AAOS website

AAOS Calendar

House of Representatives Legislative Activities

 

AAOS Staff Confers with HHS Secretary Sebelius
on MAC & RAC Audits


imageAt the recent Society for Women's Health Research Annual Gala Dinner in Washington, DC, AAOS Office of Government Relations staff spoke with Department of Health and Human Services Secretary Kathleen Sebelius regarding AAOS’s concerns with recent Medicare audit activity.

The Centers for Medicare and Medicaid Services (CMS) has beefed-up its Medicare audit programs, and  Medicare contractors in various jurisdictions across the country are questioning the way in which physicians are documenting the medical necessity of lower extremity total joint replacement (DRG470) procedures. AAOS has been particularly concerned with the uptick in audits conducted by Medicare Administrative Contractors (MACs) and Recovery Audit Contractors (RACs), which are private companies that contract with CMS to review claims and recover overpayments from providers.  

During their conversation with Sec. Sebelius, AAOS staff called attention to the uncertainty surrounding, and onerous nature of, MAC and RAC audits and documentation requirements facing orthopaedic surgeons performing joint replacement.  The Secretary acknowledged the validity of AAOS’ concerns and said she would take them into account as her office fine tunes its documentation policies.