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James Del Bianco

10/28/2013

I am getting ready to meet with my state's senators and try to share with
them the difficulties our profession nationwide is facing as a result of
the physician documentation requirements and the RAC audits. I will try to
convince them to support the O&P improvement act and consider what is being
done by the RAC auditors and the physician documentation requirement
challenges.

As part of my discussion with the senators I was wondering if anyone had
references to some of the posts I have seen over the last year such as:

1. Percent of RAC audits to O&P practitioners that were overturned at the
ALJ level. It seems like I remember someone saying as high as 60 percent
were won by the provider at this level indicating the RAC auditors were
irresponsible in their audit efforts. Any info here would be helpful. A
solid source to provide would be great.

2. Impact of the audits on the profession. I saw some statistics shared
regarding number of small business shut down where pre-payment audits
occurred or something along those lines. Again any info would be great and
especially references.

3. Anything else that can be cited as factual would help.

Thanks for your help. I will do my best.

--
Jim Del Bianco