Subscribe to RSS - appeals

appeals

In brief: HHS scores win in appeals fight, Superior HealthPlan makes changes to Medline contract

 - 
08/18/2017

NEW YORK – The D.C. Circuit on Aug. 11 ordered a federal judge to take a deeper look at whether or not the U.S. Department of Health and Human Services can clear a backlog of about 600,000 appeals by 2021, while still protecting taxpayer dollars, according to Law360.

Appeals backlog wears on

‘Hopefully we’re still in business when our cases get to a judge,’ says provider Donna Barraclough
 - 
05/19/2017

YARMOUTH, Maine – A whopping 92% of respondents to a recent HME Newspoll say they have claims stuck at the administrative law judge level and are waiting—and waiting—for hearing dates.

HHS tries to chip away at appeals backlog

Many of proposed changes make sense, few are surprising, stakeholders say
 - 
07/01/2016

WASHINGTON – The U.S. Department of Health and Human Services on June 28 outlined a number of proposed changes to the Medicare claims appeals process that it believes will help diminish a huge backlog.

HHS proposes changes to appeal process

 - 
06/30/2016

WASHINGTON – The U.S. Department of Health and Human Services on June 28 issued a notice of proposed rulemaking on changes to the Medicare claims appeal process.

Demo allows providers to make their case by phone

 - 
03/08/2016

JACKSONVILLE, Fla. – C2C Innovative Solutions, the Qualified Independent Contractor or QIC for the second level of Medicare appeals, is conducting a demonstration project that allows HME providers to discuss denied claims over the phone before a decision is made.

President touts savings from bid program

Budget also includes provisions related to how oxygen is paid for and how Medicare appeals are handled
 - 
02/10/2016

WASHINGTON – The president’s proposed federal budget for fiscal year 2017 includes a provision to expand Medicare’s competitive bidding to new product categories.

Short takes: OMHA, NCART, Great Lakes

 - 
02/03/2016

The Office of Medicare Hearings and Appeals will host the fourth Medicare Appellant Forum via webinar/teleconference on Feb. 25 from 1 p.m. to 4 p.m.

OMHA to expand settlement process for appeals

 - 
09/22/2015

WASHINGTON – The Office of Medicare Hearings and Appeals will expand a pilot project that it launched last year that seeks to settle appeals that are stuck at the administrative law judge level.

Providers can now look up status of appeals

 - 
03/03/2015

WASHINGTON – The Office of Medicare Hearings and Appeals has launched a new tool that allows providers to check the status of appeals at the administrative law judge level, AAHomecare reported this week.

New enrollment provisions overreach, attorneys say

 - 
12/24/2014

BALTIMORE – Broad new enrollment provisions required by the Affordable Care Act could put HME providers at greater risk of losing their Medicare billing privileges, say industry attorneys.

Pages