Using the New Request for Hearing Form for Medicare Appeals
The advent of revised regulations for administrative law judge (ALJ) hearings of Medicare appeals includes a new request for ALJ hearing or review of dismissal form. Because the new form …
HHS says Medicare Appeals Backlog Will Be Worse by 2021
After being directed by a court order to clear out the Medicare backlog of home health care claims appeals, the Department of Health and Human Services (HHS) is predicting the backlog …
OMHA Announces ALJ Appeal Status Website
This week, the Office of Medicare Hearings and Appeals (OMHA) announced the launch of a new website which will allow providers to check the status of their ALJ appeals. The …
CMS must provide better oversight to prevent duplicate audits says GAO study
A newly released study by the federal General Accounting Office (GAO) found that the Centers for Medicare and Medicaid Services (CMS) needs to provide better oversight and guidance for provider …
CMS announces Medicare appeals without ALJ
Medicare Part B Providers will be able to appeal certain Medicare claims decisions without utilizing an administrative law judge, the Centers for Medicare & Medicaid Services announced Thursday. Settlement Conference …
HME News: AAH moves past anecdotes in audit fight
It’s no secret that audits are out of control, but without data it’s hard to build a case. That’s the problem AAHomecare hopes to help the industry fix with its …
HME News: Bid, audit bills near prime time
Industry stakeholders expect Reps. Pat Tiberi, R-Ohio, and John Larson, D-Conn., to lead a group of lawmakers in introducing a bill this week that would require HME providers to obtain …
Medicare audits hurt providers, lawmakers complain
Efforts to fight fraud in the nation’s massive health care program for seniors have burdened many honest providers, pushing some out of business, lawmakers complained Tuesday. At a House subcommittee …