D-390.970 Recovery Audit Contractor Appeals  

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D-390.970 Recovery Audit Contractor Appeals

D-390.970 Recovery Audit Contractor Appeals

 

1. Our AMA will: (a) educate state medical societies and AMA-member physicians about the available methods for administrative and judicial appeals of Recovery Audit Contractors overpayment recoveries; (b) define common appeal scenarios and methods of appeals, provide technical support on appeals, and seek to consolidate cases for appeal with assistance of state medical societies via the AMA Litigation Center; and (c) continue to oppose the Recovery Audit Contractorsí pilot projects and reaffirm existing policy D-390.972.

2. Our AMA will inform state and specialty societies about available AMA resources to assist physicians with Recovery Audit Contractor audits and prominently feature on our AMA website information about methods, resources, and technologies related to appeals of Recovery Audit Contractor overpayment recoveries as a members only benefit. (Sub. Res. 603, I-06; Appended and Reaffirmed: Sub. Res. 603, I-10)