HHS Initiatives to Address Massive Backlog of Medicare Claims: What Hospitals and Physicians Should Know
Verrill Dana Health Care attorneys Rachel Weisblatt and Gary Rosenberg authored an article published in HFMA Advisor, Volume XLV, Issue 5, entitled "HHS Initiatives to Address Massive Backlog of Medicare Claims: What Hospitals and Physicians Should Know." The article discusses the backlog of more than a half million pending Medicare appeals at the Office of Medicare Hearings and Appeals, the length of time such appeals take to reach a decision, and the reduction in the amount of appeals favorable to the appellants over time. The article further discusses various alternatives to the appeals process that Medicare providers might consider as an alternative to the appeals process, including the Medicare "Low Volume Appeals Settlement Initiative," settlement conference facilitation, statistical sampling, and telephone discussion demonstration.
