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Court pressures HHS over audit backlog


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.

ALJ sides with feds, Lincare must pay $240K penalty


CLEARWATER, Fla. – Lincare will pay nearly $239,800 in civil monetary penalties for violating the Health Insurance Portability and Accountability Act, a U.S. Department of Health and Human Services Administrative Law Judge ruled Feb. 3.

OMHA pilots ALJ workaround


BALTIMORE – A new pilot program seeks to settle appeals that are stuck at the administrative law judge (ALJ) level, but is CMS ready to negotiate?

Reporter's notebook: Crash course in charting and other calamities

Friday, April 4, 2014

For years, HME providers have been trying to teach physicians what they need to include in their chart notes, often to no avail, says Sarah Hanna, president of ECS Billing & Consulting North.

AAHomecare tells Senate: Stop audits until backlog clears


WASHINGTON –AAHomecare has met with senators to discuss improvements the association wants to see to the audit process.

Stakeholders to lawmakers: Stop the audit madness


WASHINGTON – A small but determined group of HME stakeholders will travel to Capitol Hill this week to take on audits.

Audits: Stakeholders strike while iron is hot


WASHINGTON – Expect the outcry over audits to heat up in the coming weeks, say HME industry stakeholders.

Memo could be catalyst in audit battle


WASHINGTON – A recent memo from the chief administrative law judge (ALJ) makes it clear that the Office of Medicare Hearings and Appeals (OMHA) is in over its head.

Coalition seeks fix to ‘feeding frenzy’ of audits


WASHINGTON – A new coalition led by a long-time industry healthcare attorney and former White House and Health and Human Services (HHS) advisers has made audit relief its singular priority.

Expect longer delays at the ALJ


WASHINGTON – The Office of Medicare Hearings and Appeals (OMHA) will defer assignments for hearings—possibly up to 28 months, according to a recent notice.