News & Press: Breaking News

HHS OIG Find That Improvements are Needed at the Administrative Law Judge Level of Medicare Appeals

Monday, November 26, 2012   (0 Comments)
Posted by: Brian Lagana
Share |

HHS OIG Find That Improvements are Needed at the Administrative Law Judge Level of Medicare Appeals

The U.S. Dept. of Health & Human Services' Office of the Inspector General (HHS OIG) conducted this study because Administrative law judges (ALJ) within the Office of Medicare Hearings and Appeals (OMHA) decide appeals at the third level of the Medicare appeals system. In 2005, among other changes, ALJs were required to follow new regulations addressing how to apply Medicare policy, when to accept new evidence, and how the Centers for Medicare & Medicaid Services (CMS) participates in appeals. Medicare providers and beneficiaries may appeal certain decisions related to claims for health care services and items.  Click here for the complete story.


Association Management Software Powered by YourMembership.com®  ::  Legal