Judge Orders HHS to Clear Medicare Claims Appeal Backlog by 2020

Four years, that’s how long a federal judge has given the Department of Health and Human Services (HHS) to clear through a huge backlog of Medicare claims appeals. The Dec. 5 ruling, from Judge James E. Boasberg grew out of a motion for summary judgment filed in October by the American Hospital Association. At issue […]

Will proposed rule change clear Medicare appeal claims logjam?

The Department of Health and Human Services late last month took a small step toward easing a very big problem. The agency issued a proposed rule designed to help reduce the backlog of more than 700,000 Medicare claims stuck in the appeals process. The proposed changes to the Medicare appeals process would “streamline administrative processes, […]

OMHA to expand Medicare appeals process

Faced with skyrocketing processing times, the Office of Medicare Hearings and Appeals (OMHA) says it plans to expand its Settlement Conference Facilitation pilot project in an effort to clear through the ever-growing backlog of claims appeals. The pilot project, which began in June 2014, is an alternative dispute resolution process. It was created to bring […]

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