DecisionHealth, DecisionHealth - 2012 Issue 12 (December)

ALJ hearings will remain a good appeals option, OIG report notwithstanding

Providers could soon lose a powerful ally in CMS’ appeals process. A new report from the HHS Office of Inspector General (OIG) means you likely will see CMS and its contractors participate more actively in administrative law judge (ALJ) hearings in an attempt to uphold denials.

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