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Tag : Medicare appeals

District Court Again Asks Hospitals To Propose Solution To Appeals Backlog

The D.C. District Court told hospitals to come up with proposals by June 22 to clear out the backlog of Medicare appeals and to explain why current procedures are insufficient, and the government will have until July 6 to respond to those proposals, according to a recent court order. The American Hospital Association sued HHS over the appeals backlog because decisions at the Administrative Law Judge level were not turned around within 90 days as required by law. After gathering […]

McKnights

Senate committee to reintroduce bill targeting Medicare audits, appeals

A bill aimed at expediting the Medicare appeals process is expected to be reintroduced in the coming months, according to one healthcare insider. The Audit & Appeals Fairness, Integrity, and Reforms in Medicare Act, first introduced in late 2015, would add more resources to the Office of Medicare Hearing and Appeals to help combat the growing backlog of Medicare claim appeals. The original version of the bill pledged $125 million to OMHA, and $2 million to the Departmental Appeals Board […]