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CMS contractor expands phone demo

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11/04/2016

JACKSONVILLE, Fla. – C2C Innovative Solutions, the contractor handling the second level of the Medicare appeals process, has received the green light from CMS to expand a demonstration project that allows HME providers to speak with reconsideration professionals by phone to try and resolve their cases.

Court pressures HHS over audit backlog

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09/22/2016

WASHINGTON – A federal court has ordered the U.S. Department of Health and Human Services to solve the backlog at the Administrative Law Judge level, according to an update from The VGM Group. In a decision handed down Sept.

ALJ sides with feds, Lincare must pay $240K penalty

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02/04/2016

CLEARWATER, Fla. – Lincare will pay nearly $239,800 in civil monetary penalties for violating the Health Insurance Portability and Accountability Act, a U.S. Department of Health and Human Services Administrative Law Judge ruled Feb. 3.

OMHA pilots ALJ workaround

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07/11/2014

BALTIMORE – A new pilot program seeks to settle appeals that are stuck at the administrative law judge (ALJ) level, but is CMS ready to negotiate?

Reporter's notebook: Crash course in charting and other calamities

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Friday, April 4, 2014

For years, HME providers have been trying to teach physicians what they need to include in their chart notes, often to no avail, says Sarah Hanna, president of ECS Billing & Consulting North.

AAHomecare tells Senate: Stop audits until backlog clears

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03/13/2014

WASHINGTON –AAHomecare has met with senators to discuss improvements the association wants to see to the audit process.

Stakeholders to lawmakers: Stop the audit madness

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02/07/2014

WASHINGTON – A small but determined group of HME stakeholders will travel to Capitol Hill this week to take on audits.

Audits: Stakeholders strike while iron is hot

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01/24/2014

WASHINGTON – Expect the outcry over audits to heat up in the coming weeks, say HME industry stakeholders.

Memo could be catalyst in audit battle

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01/17/2014

WASHINGTON – A recent memo from the chief administrative law judge (ALJ) makes it clear that the Office of Medicare Hearings and Appeals (OMHA) is in over its head.

Coalition seeks fix to ‘feeding frenzy’ of audits

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11/15/2013

WASHINGTON – A new coalition led by a long-time industry healthcare attorney and former White House and Health and Human Services (HHS) advisers has made audit relief its singular priority.

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