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Tag: R. Ross Burris

Smart Talk

ALJ Appeals: Pay attention to details

January 3, 2017R. Ross Burris

A. If CMS or a supplier disagrees with an Administrative Law Judge's (ALJ) decision, the matter may be appealed to the Departmental Appeals Board (DAB). But, as many suppliers know, the DAB appellate process is substantially backlogged, although it is not as backlogged as the Office of Medicare Hearings and Appeals. This article will focus on tips and tricks designed to help the DAB efficiently dispose of your matter and render a quick decision (hopefully in your favor). Make the decision...

Administrative Law Judge (ALJ), Appeal, Polsinelli, R. Ross Burris

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Smart Talk

ALJ Appeals: Increase your success rate

October 21, 2016R. Ross Burris

A. If you find yourself in the unfortunate position of having to submit a Medicare request for redetermination or reconsideration, make sure that you are thoughtful in your submission and that you pay attention to the details provided in the overpayment demand. Redetermination  Redetermination requests must comply with regulatory deadlines—the request must be submitted within 120 days of receipt of the initial determination or filed within 30 days to stay recoupment, and the Medicare...

Administrative Law Judge (ALJ), Appeal, R. Ross Burris

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