On March 13, 2014, with the strong support of Senate Finance Ranking Committee Member Orrin Hatch (R-UT), the Republican oversight staff of the Senate Finance Committee convened an informal stakeholder discussion attended by over a dozen providers and suppliers with day-to-day responsibility for compliance issues.  A group of bicameral and bipartisan staffers from congressional committees of jurisdiction and individual Member offices attended the session.  The moderated discussion focused on developing solutions to the current challenges presented by Medicare audit and appeals burdens, while ensuring and improving the integrity of Medicare payments.  The three main discussion areas focused upon the following questions:

  • What are the main sources of audit burden (i.e., RACs, MACs, ZPICs)?  
  • What can be done to alleviate those burdens, while avoiding or recovering improper payments?   
  • What changes could be made to alleviate appeals bottlenecks or reduce the number of appeals?