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ALJ delay

Gov’t also takes hit under ‘monster backlog’ of appeals


WASHINGTON – The years-long delay in the appeals process at the administrative law judge level is costly for both providers and CMS, says a new report.

OMHA seeks comment on ALJ


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, according to AAHomecare.

OMHA hearing frustrates


WASHINGTON – The Office of Medicare Hearings and Appeals (OMHA) held a hearing last week on the ongoing backlog of audits and efforts to address the problem, but industry stakeholders who attended said it was extremely frustrating.

Audits: ‘Guilty until proven innocent’


WASHINGTON – A subcommittee hearing on audits yesterday shows that lawmakers are getting the message.

Patients: real victims of audits


Mr. Watson’s letter (“28-month delay will be disasterous for providers,” January 2014) was right on the money, no pun intended.

Reporter's notebook: Audits: Denials, duplicates, delays


These days, we are hard-pressed to find a provider who doesn’t want to vent about audits. From massive recoupments to a two-year wait for an appeals hearing, the system, say providers, is broken.

Right hand, meet left hand