HANYS Recommends Audit Changes to U.S. Senate Finance Committee
In response to the U.S. Senate Finance Committee’s May 2 open letter to members of the health care community, HANYS submitted recommendations to the Committee to improve the efficiency, coordination, and equitable implementation of programs designed to prevent and combat waste, fraud, and abuse and improve payment accuracy in the Medicare and Medicaid programs.
Specifically, HANYS is requesting that the Committee examine:
- the escalating administrative burden being imposed on hospitals and health systems by the various audit agencies and contractors;
- the lack of established, recognized uniform standards on which audit decisions are based;
- the disproportionate and inappropriate use of “full recoveries;”
- the lengthy and difficult appeals process;
- the need to reduce multiple audit initiatives, duplication, lack of coordination, and inefficiency and establish claim tracking and centralized data collection systems; and
- the obligation of policy-making agencies to provide clearer guidance and meaningful education to provider groups on issues of particular concern to program integrity officials.
Contact: Melanie Graham