most of the rac decisions are not appeals. according to our decision about 6% of the rac decision are appealed. once those are reach higher levels, about half of those are overturned. so that maybe can help reconcile some of those issues. where the 72% comes into play where we looked at the third level of appeals, the alj level. they overturn about 72% of hospitals claims. that would include both races and other issues than just the in patient. >> just to be clear, about 7%, six or 7%, depend hog is talking about that number, somewhere in that range of those decisions that are made by rac are appealed and of those that are appealed in this case of part a hospitals, 72% of those prevail? correct? >> overturned. >> alj level. >> ajl level. that makes a lot more since. there is lot of disparity between 6% and 70%. that helps me understand how, where those numbers are coming from. thank you very much. thank you, mr. chairman. >> thank you miss black. i'm now confused of the appeals process. i don't mean to intervene a minute so 94

>> the work of the rac? >> yes. >> not directly, sir. >> all of this money that is used to comply with all of these rules and regulations, it costs money, doesn't it? >> yes, sir. >> billions of dollars, maybe more. where does that come from? >> well, congressman, i think you are getting a point and i would concede right away, which is our goal is not to have a lot of these cases reviewed, not overturned. herbalist have their policies that hospitals can agree with and comply with which it comes from patient care. if osbourne aligns to put that money in from complying with the rules at cms that get more and more laborious then that money is not going into cared for that patient. when we hear one of our colleagues say if this is really not affecting the patient, that is really not true, is it? it is not a productive use of money and why we are trying to reduce the need for this type of review. thank you very much. >> thank you. >> thank you, mr. chairman. want to thank the panel. mr. -- mr. cavanaugh, mr. mcde

in that report we showed when the rac denied the claim and when rac denies a claim only 7% of those are ultimately overturned at some level of review. all the way up through the alj. >> only 7% are overturned. where do the hospitals get those figures that they say pashtun they are all overturned. when we finally go through this long arduous process that is backlog of everything else, it's always overturned. where do they come up with that? >> to sources. the first is in the individual hospital experience made very to minister. some may have a better success rate. the other is some of the numbers that i've seen quoted by the industry they're using as the denominator only those that they choose to appeal. not all those that were denied, which a lower to know many would generate a higher rate of that. >> does the key to more than half? >> in the numbers we've seen at cms, i haven't seen anything that would get that high, no, sir. >> the number i saw, you're holding back on the numbers you've got. the ones that i've seen said 27% is the number that are overturned. >> i don't mean to hold ba

they don't want to be put on the rac. they are still awaiting a response. have returneds savings to the local trust fund. it is important that providers have timely access to the appeals of these audits. 65 lawtalking about judges and now 350,000 claims, which i understand is the reason for the delay, or the suspension. it is rather incredible. we have gone from impending appeals in just two years of 900 -- 92,000 claims to 460,000 claims. when the weekly operation of about 1250 up to 15,000 per week. the reason is obvious, and that , hospitals win 70% of the time. which means these independent hospitalrs come into a and many times they have never seen them before. they are being find for regulations they know nothing about. and if you are in a small hospital, you have a problem they doing out whether you're going to appeal or not, and now we find that the appeals are suspended. i would add to my list -- what can be done to better balance the need to recover improper unduets without imposing administrative burdens on providers? particularly those in our rur

i know the racs returned savings to the medicare trust funds. vital that local hospitals medicare providers have timely appeals of these audits. we're talking about 65 administrative law judges and now, 357,000 claims for medicare services which i understand is the reason for the delay, or suspension. it is rather incredible. we have bonn from pending appeals in just two years of 92,000 claims to 460,000 claims. and thenon the, number of weekly receipts in the central operations division from about 1250 to 15,000 per week. reason is is obvious. and that is the hospitals win 70% of the time. which means these independent contractors comeek into a hospil many times, they have never seen them before. they're being fined for regs they don't know anything about and then, if you're in a small hospital you really have a problem trying to figure out whether you're going to appeal or not.d and nowfo we find that the appes are suspended. so d i would add to my list what can be done to better balance the need to recover a proper payments. we're all for tha

>> well, in the case of a rac, c.m.s. tells the rac what kind of issues they can look at. they work together with c.m.s. and c.m.s. approves the types of issues. >> so they go in and make the request of a senior citizen type of client that's there. they're not just pulling one patient. are they? they may pull 10? 20? >> i believe the claims are investigated on an individual basis. >> the provider. when they get noisks. >> they will get noifings of a claim. a claim. i'm sorry. correction. there could be more than one but there is a limit. >> that's what i'm trying to get is what is that limit? does anyone know the number on that? how many are they trying to pull for a rac audit? >> there are numerous contractors that can. each contractor has, set in statute they are supposed to do the job they're doing. the contractor's functions are different. the sert is to go in there and determine the improper payment rate it's not primarily looking at the provider. it has to do the medical record audit to zerm whether an improper payment has occurred. but its function is to evaluate ou

. >> reporter: meet rac carroll. he is no ordinary water park guest but rather an undercover boss.company. today he's here at an indoor water park in pennsylvania, playing a game of cat and mouse with his trainees, armed with a video camera, to secretly see who's paying attention. >> we want to be able to see a guest in distress within ten seconds so that we're not being reactive to a situation where somebody may already be on the bottom. >> reporter: carroll does this regularly because frankly his video archives are awash with examples of lifeguards behaving badly. look at this lifeguard totally tuning out the pool. listening to his ipod. >> no lifeguard should ever be provided any electronic equipment. certainly no texting or talking on the phone. >> reporter: this guy seems to have something else on his mind besides safety. he's looking everywhere but at the swimmers. is he checking out that woman's behind? worst of all may be this guard. he's gone into full hibernation mode. fortunately no one is swimming. let's hope he returns from la-la land before some kid cannonballs into t

. >>> the notorious donald sterling finally went public with an%,'ñ apology for his rac rant tonight.but he may have dug himself into an even deeper hole with new remarks about magic johnson. >> well, what kind of a guy goes to every city, has sex with every girl, then he catches hiv and -- is that someone we want to respect and tell our kids about? >> he told cnn's anderson cooper all this while his embattled wife spoke one on one with our barbara walters. tonight shelly sterling reveals the final straw that's leading them to divorce. after nearly 60 troubled years together. >> this is the woman at the heart of a racial firestorm. >> are you a racist, mr. sterling? >> no. of course not. >> shelly sterling. only once has her voice been heard during the turmoil of this scandal. >> it's not true. >> not true? >> no, of course not. >> reporter: tonight she speaks out about her husband, donald sterling, billionaire, philanthropist, now accused of racism. >> your husband made racist remarks that were recorded on tape. >> pictures with minorities. why? >> what's wrong with minorities? >> it

they don't want to be put on the rac. they are still awaiting a response.have returneds savings to the local trust fund. it is important that providers have timely access to the appeals of these audits. 65 lawtalking about judges and now 350,000 claims, which i understand is the reason for the delay, or the suspension. it is rather incredible. we have gone from impending appeals in just two years of 900 -- 92,000 claims to 460,000 claims. when the weekly operation of about 1250 up to 15,000 per week. the reason is obvious, and that , hospitals win 70% of the time. which means these independent hospitalrs come into a and many times they have never seen them before. they are being find for regulations they know nothing about. and if you are in a small hospital, you have a problem they doing out whether you're going to appeal or not, and now we find that the appeals are suspended. i would add to my list -- what can be done to better balance the need to recover improper unduets without imposing administrative burdens on providers? particularly those in our rura

attempts to breach the agreement of april seventeen split up to sell a horse into an arrest release of the rac of service and compliance with the geneva agreements to ease the tension. wish lists of q school is the key to the cause of today's negotiations and human cancer and did not just its president and the market is already in question. american press has no doctor would discuss solutions was barak obama. colin was intermission get with the system will save you a little of substance will get it meanwhile the exhibit is open your distributions and he just said to his position in eastern europe. wish it wasn't as directors at the korean quite good. this is to plant hunters from norwegian netherlands belgium and is doing a reading test is to keep security as a delicacy and if necessary to respond to stress. the most authentic evidence is in prison due to all worth it used to new homes he owns it not to fight just a brief chat about to turn to spend it on for several months the ship was on the kindle american coast to the street i can't entice a games on its vehicles. and as representatives of

attempts to reinstate cream end of april seventeen split focus our hearts into an arrest release of the rac of service and compliance with the geneva agreements to ease the tension. new issues of cuba and more school is a key tool because the two d's negotiation isn't human cancer and did you not just his presence. and the market is already in washington american press has no joke they would discuss solutions was barak obama followers into mission is to look good with the system will save you a little of substance will give my unwavering. article five commitment to the security of our nato allies including a german aircraft joining nato patrols over the baltic sea. were united in our support for ukraine including a very important. imf program for this week to help ukraine stabilize and reform its economy. and as ukrainian forces moved to restore order in eastern ukraine. it is obvious to the world of these russian backed groups are not peaceful protesters. there we are militants. for receiving significant support from russia russian leadership must know that if it continues to de stabilize

attempts to breach the agreement of april seventeen sq ft truck as our cars into an arrest release of the rac of service that combines with the geneva agreements to ease the tension. we sense of humor and the school is a key tool because the two d's negotiations and human cancer and not just his presence and your mind can easily be washed. american press has no joke they would discuss solutions was barak obama closing commission to look good with the system will save you a little of substance will give light unwavering. article five commitment to security of our nato allies including a german aircraft joining nato patrols over the baltic sea were united in our support for ukraine including a very important. imf program for this week to help ukraine stabilize and reform its economy. and as ukrainian forces moved to restore order in eastern ukraine. it is obvious to the world of these russian backed groups are not peaceful protesters. there we are militants. for receiving significant support from russia russian leadership must know that if it continues to de stabilize eastern ukraine. and disru

live pictures of having a c in just a moment what to tell us about the release added that happen the rac spokesman he can give exact details all pretense of the negotiations that weekend added that a team of the leafy stuff is being aimed at temple facade that the ads in three days since is false dissuade a tainted trying to negotiate their release and of course as he mentioned the russian envoy wheels to help out with negotiations we don't believe that when a huge concessions may be deadly to any conditions of release. i read the osce says that contents of the conditions enough to keep lesson that they were held them but they are on honda's the state. then on the wing and a walk on the day of its agenda but the official so we opted to release the self evidence that bb had briefly at etsy saying that they're about to ride a king bed and she did this release does seem to get some momentum to diplomatic efforts he was welcomed here by germany's foreign minister what's the next step there it's a delicate situation on the ground right now the then foreign minister did find to be rationed in

. >> is us just for the likes of rafael nadal or for me who just quet now and rac again. >> as a tennisore than welcome to use it. >> it certainly feels good. you wouldn't know it has this technology inside. >> the pure drive is the most versatile racket. >> what about the purists who say there's too much technology in support? we need less technology more -- not more technology. what would you say to them? >> i would say it is the best tool to improve your game. if you're committed to the game and you want to play better, there's nothing better than knowing what is happening during your game. >> what about the competition? you have this prototype sensor to stick on the bottom of the racket. will the competition -- thisbolar is leading natural trend. use it in cycling and running. it is the first ever connected quet. it is available in europe and the u.s.. >> the cost is about 350 pounds. i might just keep this racket. don't tell frank. ♪ >> it is friday, let's check on the dollar yen today. the big story is japan inflation quickening at its fastest pace since 1991. andstrial production

. >> the journal does a rac raiser on the meeting tomorrow. >> let's stick our fingers in it.they will take action. on the board members, i think he is one of my bankers 21. you do not want him to leave. he's done fabulous things. after a tough series. look at air bus. no one talks about how air bus can't make the darn plane. right? >> shares of at&t are not done. down about 1.5% right now. the conference call has concluded. i was on it for a while. i did speak to somebody who said not that many big highlights for the call. they were discussed again. dish spends on directv. that is where people want to focus. he said he is sitting next to him and bain doesn't know his name. we are going to call these th g things dish moments. no break ups here on this deal. directed the sunday ticket. it has negative value right now. directv shares are down. this deal leaked a while back. it does it is kcomprised 70% of stocks. some people anticipated as well. they are also they are paying out. i like att stocks i care about latin america. i know that mike white is not that thrilled about goin

rac is aboute vindicating people like angela, a mother of five girls from owens burls.nsboro.- from she was at her wit ends when she wrote me this year. after being told up and down she did not have to worry about a result coming out of obamacare that she did not favor, she was she found out she was going to lose her doctor and her plan. her premiums had more than tripled. she was out of patience. obamacare agents told her she was out of luck. when she spoke up about it, harry reid told her she was a liar. another woman wrote me saying her deductible went up sevenfold. she said, she is a democrat and she is furious. i feel deceived, she wrote. another woman wrote saying that in order to pay her new premium under obamacare, she would have to either reduce payments or stop contributing to her 401(k). all these women have something in common. they got a raw deal and they've got nothing but a blind stare from the people that did these things to them and their families. that is how this crowd operates. they think they can get away with it if they just push ahead. if they can