Podcast: Consider escalating certain appeals from the ALJ

AHA News

Hospitals can play an important role in supporting the AHA’s litigation to compel the Department of Health and Human Services (HHS) to comply with statutory deadlines for deciding hospitals’ appeals of claim denials.

In December 2013, HHS announced a moratorium on assigning new health care provider appeals to individual administrative law judges (ALJ) for at least 24 months, meaning hospital appeals can take three or more years to be heard, let alone decided, tying up billions of dollars in Medicare reimbursement for hospitals.

In this audio podcast, AHA Assistant General Counsel Lawrence Hughes describes what’s at stake for hospitals, and how hospitals can “escalate” certain appeals to HHS’s departmental appeals board. To listen, click here

Topic: Advocacy and Public Policy
Tag: RACs

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