tci Part B Insider - 2015 Issue 22

Are Medicare Appeal Fees In Your Future?

OMHA proposals to shorten appeals timeframes could restrict your appeal rights, advocates warn. In addition to increasing the HHS Office of Medicare Hearings and Appeals’ funding to double the Office’s capacity for processing appeals, Chief Administrative Law Judge  Nancy Griswold also suggested the following legislative reforms in her testimony before the Senate Finance Committee: Utilize RAC collections. Use part of the money that the Recovery Audit Contractor program recovers to fund the program’s administration and the appeals process for RAC-related appeals. Establish a refundable filing fee. Institute a refundable per-claim filing fee for...

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