Justice delayed is justice denied — especially in skilled nursing
By
Alan C. Horowitz, Esq., RN
Aug 09, 2022
Let’s try a little thought experiment. Imagine you are the owner or operator of a skilled nursing facility. Or, you are the director of nursing, administrator, therapist, nurse aide or physician. ...
Congress, we must reform Medicare appeals
By
Kristin Walter
Oct 31, 2016
Ten years – that’s how long the U.S. Department of Health and Human Services Office of Medicare Hearings and Appeals estimates the Medicare appeals backlog of 750,000 cases will take to clear.
Congressional lawmakers grill top ALJ on appeals backlog, say too many providers are being put out of...
By
Tim Mullaney
Jul 11, 2014
Efforts to root out Medicare fraud have put far too many above-board providers in auditors’ crosshairs, leading to a staggering backlog of appeals that has no easy fix, Congressional lawmakers and...
CMS announces Medicare appeals without administrative law judge hearings
By
Tim Mullaney
Jul 07, 2014
Long-term care providers will be able to appeal certain Medicare claims decisions without going through an administrative law judge hearing, the Office of Medicare Hearings and Appeals (OMHA) announced...