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Tag: American Hospital Association


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AHA supports scrutiny of Medicare Advantage 

May 31, 2022HME News Staff

WASHINGTON – The American Hospital Association has urged the U.S. Department of Justice to establish a task force to conduct False Claims Act investigations into commercial health insurance companies that are found to routinely deny patients access to services and deny payments to health care providers.  The AHA’s letter follows a recent report from the Office of Inspector General that found Medicare Advantage organizations are violating their obligation to cover the...

American Hospital Association, Medicare Advantage, Prior authorization


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Case analysis by Jeff Baird

September 8, 2017Theresa Flaherty, Managing Editor

YARMOUTH, Maine - The American Hospital Association's lawsuit against the Department of Health and Human Services over a massive appeals backlog has been ping-ponging between the U.S. District Court for the District of Columbia and the D.C. Circuit Court since it was first filed in 2014.The latest ruling, issued Aug. 11, directed a federal judge to take a closer look at whether it's actually feasible for HHS to clear the backlog by 2021, as previously ordered.“I think the D.C. Circuit Court...

American Hospital Association, Appeals Lawsuite, Jeff Baird


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Groups set stage for action on audits

December 31, 2014Liz Beaulieu, Editor

WASHINGTON - Even though the American Hospital Association (AHA) lost its bid to get a court to intervene in a huge backlog of appeals of Medicare claims, the lawsuit keeps the controversial program in the spotlight, industry stakeholders say.The U.S. District Court for the District of Columbia ruled in December not to require the Department of Health and Human Services (HHS) to meet statutory deadlines for timely review of claim denials. The judge said that Congress, not the court, should take up...

aahomecare, American Hospital Association, Audits


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