RAC Sign on Letter

March 9, 2009

Ms. Charlene Frizzera Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, DC 20201

Dear Acting Administrator Frizzera:

The undersigned organizations are writing to share our ongoing concerns about the Recovery Audit Contractor (RAC) program, which has been expanded nationwide. We want to reiterate our concerns now that the contested contract award decisions have been resolved, and the program is moving forward.

While we are pleased that throughout the program, physicians have been able to work in cooperation with the Centers for Medicare and Medicaid Services (CMS) on several issues of concern to the physician community, we believe the program is an enormous burden on the affected physicians and has failed to further the worthy goal of eradicating frequent billing mistakes. We strongly believe that problems with over and/or underpayments of Medicare claims would be most effectively resolved through physician outreach and education.

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