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Ross Burris

Settlement update: A non-option option for appeals

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12/08/2017

WASHINGTON – CMS has rolled out a new settlement option for low-volume appeals, but it’s not likely HME providers will take the agency up on its offer, stakeholders say.

Be prepared for your day before ALJ hearing

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11/21/2017

ATLANTA – Many HME providers end up in front of an administrative law judge (ALJ) to contest a reimbursement denial, but too often they don’t know what they’re up against.

Session spotlight: Be prepared for your day in court

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10/24/2017

ATLANTA – Many HME providers end up in front of an administrative law judge to contest a reimbursement denial, but too often they don’t know what they’re up against, says speaker Ross Burris.

Expect audits to get more aggressive

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01/27/2017

atlanta – When ZPIC auditors come calling, it’s important not to throw up your hands in surrender because there’s too much at stake, said healthcare attorney Ross Burris.

ALJ Appeals: Be prepared from the start

Q. How can I bolster my chances of success at an ALJ hearing?
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11/30/2016

A. A supplier that disagrees with a Qualified Independent Contractor’s reconsideration decision is entitled to a hearing before an administrative law judge.

ALJ Appeals: Pay attention to details

Q. What are some best tips for defending claims—from ADR letters to ALJ appeals?
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09/29/2016

A. A home medical equipment supplier can protect its profit margins from recoupment by establishing a compliance culture that collects adequate documentation and submits proper billing claims, but it is equally important for a supplier’s bottom line to defend and appeal erroneous Medicare recoupments.