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HHS reports 25% reduction in appeals backlog

October 16, 2019HME News Staff

WASHINGTON - The Department of Health and Human Services has reduced the backlog of Medicare appeals at the administrative law judge level by 25% through June 30, according to a status report provided to a federal court and obtained by the American Hospital Association.The status report is part of a federal court ruling last year that established annual deadline-based targets for reducing the backlog of Medicare appeals at the ALJ level.From Nov. 1, 2018, through the end of the third quarter of fiscal...

AHA, ALJ, Appeals backlog, OMHA


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HHS scores win in appeals fight

August 15, 2017HME News Staff

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. The ruling is a setback for the American Hospital Association, which has been fighting HHS in court over the backlog for several years. The D.C. Circuit, in a 2-1 ruling, said the judge didn't properly evaluate HHS's assertion that it...

AHA, Appeals backlog, lawsuit


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Court pressures HHS over audit backlog

September 22, 2016HME News Staff

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. 19, the court denied HHS's request to put litigation with the American Hospital Association on hold until Sept. 30, 2017. “Between fiscal years 2010 and 2014, the number of appeals filed at step three grew 936%, from 41,733 to 423,534,” noted the D.C. court. “Because...

AHA, ALJ, backlog


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