DALLAS – A U.S. District Court’s recent opinion prohibiting CMS from recouping alleged overpayments from a provider going through the appeals process until after the administrative law judge level sends a strong message, industry stakeholders say.
I recently wrote an article entitled "Court Says No Recoupment Until After ALJ Hearings." This article was about a court decision in which the judge said that recoupment of an extrapolated overpayment as a result of a ZPIC audit could not begin until after ALJ hearings were held.
FALLS CHURCH, Va. – The Office of Medicare Hearings and Appeals receives more than a year’s worth of appeals work every 24 weeks at the third level of appeals, according to a recent PDF posted to the agency’s website.
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.
WASHINGTON – The U.S. Department of Health and Human Services on June 28 outlined a number of proposed changes to the Medicare claims appeals process that it believes will help diminish a huge backlog.
WASHINGTON – The U.S. Department of Health and Human Services on June 28 issued a notice of proposed rulemaking on changes to the Medicare claims appeal process.
WASHINGTON – The Office of Medicare Hearings and Appeals will expand a pilot project that it launched last year that seeks to settle appeals that are stuck at the administrative law judge level.
WASHINGTON – The Office of Medicare Hearings and Appeals has launched a new tool that allows providers to check the status of appeals at the administrative law judge level, AAHomecare reported this week.
