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ALJ backlog

Q&A: Bob Soltis

Former ALJ tells all
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07/29/2016

CLEVELAND – Spoken like a true lawyer, Bob Soltis’ advice for HME providers working claims through the Medicare appeals process: be brief and be concise.

ALJ wait time increases

OMHA, C2C pick away at backlog, but still no ‘broad relief’
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05/27/2016

WASHINGTON – The wait time for an Administrative Law Judge hearing keeps growing—a symptom of ongoing problems with the audit process, say industry attorneys.

Not so QIC

C2C launches demo to resolve claims at the second level of appeals, before they escalate to the ALJ
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03/11/2016

JACKSONVILLE, Fla. – Certain HME providers will now have a voice at Medicare’s second level of appeals as part of a new demonstration project.

Appeals backlog forces providers to reassess biz practices

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07/24/2015

YARMOUTH, Maine – Forty-three percent of respondents to a recent HME NewsPoll say they’re filing fewer appeals due to the massive backlog at the ALJ level.

In brief: ‘Unreasonable’ audits crippling providers, SGD bill passes

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07/24/2015

BOZEMAN, Mont. – The impact of audits and competitive bidding on rural providers was on the agenda at a roundtable held by the Small Business Administration last week.

‘Unreasonable’ audits crippling providers, SBA told

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07/22/2015

BOZEMAN, Mont. – The impact of audits and competitive bidding on rural providers was on the agenda at a roundtable held by the Small Business Administration yesterday.

In brief: Stakeholders testify, AAH asks for review, VGM plans expansion

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05/01/2015

WASHINGTON – A pair of hearings last week shined another light on the HME industry’s issues with audits and competitive bidding.

Hearings held on audits, bidding

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04/29/2015

WASHINGTON – A pair of hearings this week shined another light on the HME industry’s issues with audits and competitive bidding.

Appeals backlog soars, solutions don’t appear imminent

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11/14/2014

WASHINGTON – Less than a year after a massive appeals backlog at the Administrative Law Judge (ALJ) level first came to light, that backlog has nearly tripled.

In brief: OMHA seeks comment, NSM makes buy

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11/07/2014

WASHINGTON – The Office of Medicare Hearings and Appeals (OMHA) is seeking public input on current initiatives to deal with the increased workload and backlog of appeals at the administrative law judge (ALJ) level. In a notice published in the Nov.

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