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Appeals backlog

Lack of unified stance on settlements, poll finds


YARMOUTH, Maine – It turns out, even with the huge backlog of Medicare appeals stuck at the administrative law judge level, whether or not to accept a settlement is as divisive an issue as it gets in the HME industry.

CMS offers appeals settlement


WASHINGTON – CMS recently announced a low volume appeals settlement for Part A and Part B appeals at the Office of Medicare Hearings and Appeal and the Medical appeals Council.

HHS scores win in appeals fight


NEW YORK – The D.C. Circuit on Aug. 11 ordered a federal judge to take a deeper look at whether or not the U.S. Department of Health and Human Services can clear a backlog of about 600,000 appeals by 2021, while still protecting taxpayer dollars, according to Law360.

Industry to CMS: Build out phone demo

‘This is really the first CMS innovation that is really worth a darn,’ says Andrea Stark

WASHINGTON – Industry stakeholders are throwing their support behind expanding a demonstration project that allows providers to speak with reconsideration professionals by phone to try and resolve their appeals.

HHS finalizes appeals rule


WASHINGTON – The Department of Health and Human Services has published a

Appeals: Court keeps HHS in hot seat


WASHINGTON – The U.S. District Court for the District of Columbia stands firm that the Department of Health and Human Services must implement procedures to curtail a massive appeals backlog in a timely fashion.

Analysis reveals worsening appeals backlog


WASHINGTON – The wait time for DME appeals at the administrative law judge level has increased by nearly 25% during the first half of 2015, according to an analysis released by AAHomecare.