• Medicare Recovery Audit Contractor (RAC) program and RAC reform proposals including S. 2368, the Audit and Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015

Duration: June 5, 2013 to December 31, 2016

General Issues: Medicare/Medicaid

Spending: about $1,110,000 (But it's complicated. Here's why.)

It can be tricky to figure out how much an organization spent on a particular lobbying engagement. The law only requires lobbyists to report the amount they were paid for federal lobbying each quarter rounded to the nearest $10,000—and if it's less than $3,000 in a given quarter (or less than $13,000 for organizations with in-house lobbyists), they don't have to disclose it at all. Plus, some organizations include spending that doesn’t belong in the report—for instance, money spent lobbying state governments or other legal work.

Agencies lobbied since 2013: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), U.S. Senate,

Affiliated organizations: Adventist Health Systems/Sunbelt Inc.; Erlanger Health System; Kansas University Medical Center; Memorial Hermann Hospital Systems; Tampa General; Mt. Sinai Medical Center; Oakwood Healthcare, Inc.; Ochsner Health System; OSF HealthCare System; Piedmont Healthcare; Presbyterian Healthcare Services; SSM HealthCare of Oklahoma