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Tag : AHA

MEDICARE TO ELIMINATE APPEALS BACKLOG WITHIN 4 YEARS, HHS TELLS JUDGE

MEDICARE TO ELIMINATE APPEALS BACKLOG WITHIN 4 YEARS, HHS TELLS JUDGE For years the Health and Human Services Office of Medicare Hearings and Appeals (OMHA) has been unable to keep up with the number of cases it receives, leading to a mountainous backlog of pending appeals. That backlog shrank, however, by more than 30% in the past year, dropping from more than 650,000 pending appeals last year to less than 445,000 late last month, according to documents HHS filed Friday in […]

Viewpoint: AHA takes wrong approach in guidelines for addressing Medicare appeals

Viewpoint: AHA takes wrong approach in guidelines for addressing Medicare appeals The Council for Medicare Integrity has come out against the American Hospital Association’s recommendations for Medicare appeals. In a July 10 announcement, the nonprofit advocacy organization said the AHA’s recommendations are “unconscionable” given current integrity program reforms. The announcement was in response to a brief filed by the AHA June 22 after Judge James Boasberg with the U.S. District Court for the District of Columbia asked the association to provide input on how to reduce […]

AHA recommendations for Medicare appeals ignore existing integrity program reforms

AHA recommendations for Medicare appeals ignore existing integrity program reforms Washington, D.C. (July 10, 2018) – Last week, the American Hospital Association (AHA) filed a brief with the federal court in response to U.S. District Judge James Boasberg’s request for ideas regarding how to address the Medicare appeals backlog. Instead of making substantive administrative recommendations to improve the Medicare appeals process, the AHA makes suggestions that are not only redundant based on existing CMS rules, they also clearly demonstrate that […]