AAMC AGGRESSIVELY PRESENTS VIEW ON PATH
(Reproduced, with permission, from the American Association of Medical
Colleges e-mail list
=====AAMC STAT===== dated 01-27-97.)
In an important effort to modify the Office of the Inspector General's (OIG)
ongoing audit of Medicare billings by teaching physicians, AAMC President
Jordan J. Cohen, M.D., personally delivered a briefing paper to HHS Secretary
Donna Shalala at a meeting last Friday, Jan. 24, that detailed concerns about
the Physicians at Teaching Hospitals (PATH) initiative, and provided
recommendations to improve the process.
The objective of this briefing document, developed in collaboration with the
Association of Academic Health Centers (AHC), is to impress upon the
Secretary the modifications needed if the PATH initiative is be a fair,
cooperative, and effective effort for academic medicine and the government.
The briefing paper contends that the PATH initiative is "fundamentally
unfair"
as currently implemented, in that it "amounts to an OIG program to coerce
medical schools and teaching physicians into forfeiting millions of dollars
of
fees billed in good faith by threatening punitive damages if they do not
settle
audits based on the retroactive application of Health Care Financing
Administration regulations." The paper then presents four recommended
solutions
to address the perceived inequalities in the PATH audits.
The concerns and recommendations depicted in the briefing paper serve as the
unifying foundation for the PATH Advocacy Coalition, spearheaded by the AAMC
and the AHC. This group, which includes organizations such as the American
Medical Association, the American Hospital Association, and the Medical Group
Management Association, has been convened to foster greater information
sharing
about the PATH initiative and greater collaboration to achieve the
recommended
modifications in the audit process.
The PATH briefing paper has been distributed to the AAMC and AHC leadership
and
select staff, as well as to media upon request. It is available on the AAMC
Web site at
http://www.aamc.org/hlthcare/path/path2.htm.
January, 1997
Thomas L. Ray, M.D. / Dept. of Dermatology / University of Iowa / tray@blue.weeg.uiowa.edu