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Judge getting impatient with HHS over massive ALJ backlog

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Friday, April 6, 2018
Elizabeth Hogue

I recently wrote an article entitled "Court Says No Recoupment Until After ALJ Hearings."  This article was about a court decision in which the judge said that recoupment of an extrapolated overpayment as a result of a ZPIC audit could not begin until after ALJ hearings were held.

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HHS details status of appeals backlog

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11/29/2017

FALLS CHURCH, Va. – The Office of Medicare Hearings and Appeals receives more than a year’s worth of appeals work every 24 weeks at the third level of appeals, according to a recent PDF posted to the agency’s website.

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.

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.

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.

Would you drop an appeal for partial payment?

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Tuesday, September 2, 2014

We’re used to CMS breaking news late on the Friday before a long holiday weekend. And Friday, Aug. 29, was no exception.

Audits: ‘We are in crisis,’ stakeholders say

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02/14/2014

WASHINGTON – HME stakeholders made their case against an audit program run amok at a forum last week.

Appeals process could lose appeal

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02/14/2014

YARMOUTH, Maine – HME providers have heard it a million times: If you are getting audited, appeal early and appeal often.