Tag: ALJ Hearing

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.At Medtrade in Atlanta, in “What Really Happens In An ALJ Hearing?” Ross Burris, an attorney with the Kansas City-based law firm Polisinelli, was part of a panel that walked attendees through how to prepare and manage an ALJ hearing.HME News: Why is there a need for a session like this?Ross Burris: A lot of providers...

YARMOUTH, Maine - In the wake of the Feb. 12 forum on audits, the big question is: Where does the HME industry go from here?From a legal perspective, one of the few options is a constitutional challenge that argues the backlog in processing appeals and the delay in assigning cases to the administrative law judges (ALJs) are obstructing due process, says healthcare attorney Edward Vishnevetsky.“But that's an uphill and costly battle,” said Vishnevetsky, an associate with Munsch Hardt....

It's official. The winter doldrums have set in. The anticipation of the holidays has been replaced by blackened snow and brown and tattered wreaths hanging neglected. I can't get out of my own way to do much of anything. Did I pack my motivation away with the Christmas decorations? I can't help but worry that a similar fatigue has set in for HME providers. That's because the deadline to register for the Office of Medicare Hearings and Appeals forum got extended (it ends today). That made me wonder...