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HHS tries to chip away at appeals backlog

Many of proposed changes make sense, few are surprising, stakeholders say
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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

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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

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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
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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

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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

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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

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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

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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.

Providers on denied claims: ‘We’ll fight to the end’

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09/12/2014

YARMOUTH, Maine – A defiant 60% of the respondents to last week’s HME NewsPoll say they wouldn’t take up CMS on an offer to settle pending appeals in exchange for partial payment.

Here is the real story about audits

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09/09/2014

Editor’s note: The following is a letter to the editor from Van Miller that appeared in the Waterloo Cedar Falls Courier in July.

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