Lies And RACs: How To Put A Spin On The Truth
By Frank Cohen, Director of Analytics and Business Intelligence
As originally published by Racmonitor.com
On Dec. 12, 2016, the Council for Medicare Integrity released its FY 2015 Report To Congress: Recoveries Decline Due to Program Pause, in which it claims how the government messed up recoupments by taking so long to get the Recovery Audit Contractor (RAC) program up and running again after the 2014 contract issues. Now, the name of this organization sounds pretty impressive: the “Council for Medicare Integrity.” I mean, heck, who doesn’t want to see a high degree of integrity in the Medicare program? So this must be some kind of government watchdog organization or a consortium of citizens who want to hold Medicare’s feet to the fire with regard to program integrity, right?
But alas, such is not the case. The Council for Medicare Integrity is a 501(c)6 tax-exempt corporation that is, in effect, the lobbying group representing the RACs. So it would be my opinion that the title “Council for Medicare integrity” should be replaced with “Council for RAC Revenue.” But hey, that’s just my opinion, and we all know that I have been wrong many times in the past.