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Administrative Backlogs Health Care Providers

K&L Gates LLP

Court Orders Elimination of Medicare Appeals Backlog by 2022

K&L Gates LLP on

On November 1, 2018, the United States District Court for the District of Columbia (“District Court”) issued an order and memorandum opinion addressing the government’s current backlog of administrative appeals for Medicare...more

Baker Donelson

Court Finds Jurisdiction to Bar Recoupment Associated with Pending Claims Appeal

Baker Donelson on

On March 27, 2018, the United States Court of Appeals for the Fifth Circuit published an opinion that provides Family Rehabilitation, Inc. (Family Rehab) a second chance to postpone recoupment of about $7.6 million in...more

Polsinelli

Five Steps and Six Key Things to Know on CMS’s Guidance Addressing the Low Volume Medicare Appeal Settlement

Polsinelli on

Recently HHS announced two initiatives to address the mounting Medicare appeals backlog at the Administrative Law Judge level: (i) expand the Settlement Conference - Facilitation (SCF) program and (ii) offer a new Low...more

Baker Donelson

The New Option in Town: Applying for the Low Volume Appeals Settlement

Baker Donelson on

In November 2017, the Department of Health and Human Services (HHS) announced new settlement options for providers and suppliers stuck in the backlog of the Medicare appeals process. One of the new options available is the...more

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