tci Medicare Compliance & Reimbursement - 2014 Issue 14

Industry Notes: AHA Sues HHS over Appeals Delays

If you’ve been waiting for the government to hear your Administrative Law Judge (ALJ) appeal, you’re not alone — but you might be waiting a lot longer than you originally expected before you get an answer to your case. ALJ hearings are so behind that the government announced it wouldn’t process those appeals for the next two years, if not longer, angering practices that are at their fourth level of Medicare appeals and are waiting for answers. Because of these delays, the American Hospital Association (AHA) filed a complaint in the U.S. District Court of...

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