Provider Appeals and the Medicare Backlog: New Initiatives and Approaches (Intermediate) - On Demand Recording
Recorded On: 12/14/2017
Time: 90 minutes
Session Format: On Demand Recording
Despite the success of the Office of Medicare Hearings and Appeals (OMHA) in reducing the backlog of provider appeals, OMHA continues to receive more appeals than it has the resources to adjudicate in a timely manner. The delay in appeal processing has been the subject of significant concern in the provider community. This webinar is designed to discuss the various new initiatives OMHA is introducing the help with this backlog as well as discuss new rules that address these issues in more detail. The panelists will discuss the current status of appeals, the new rules related to the backlog and the initiatives being introduced to reduce the delays, and strategies providers and their counsel can consider as they deal with these matters. Specifically, the panel plans to address the role of attorney adjudicators, escalation, the Health and Human Service’s Department Appeals Board precedential decision authority, and the simplified escalation process. The panel also intends to discuss issues the provider community struggles with in this area such as cash flow matters for smaller providers and the overpayment demands with significant interest rates. The presentation will involve a point and counter point dialogue between OMHA representatives and the provider community on these important issues.
Level of Difficulty: Intermediate
- AHLA Member: $145
- Non-AHLA Member: $275
Sponsoring AHLA Group:
- [Insert sponsor name]
[Insert sponsor name]
Director, Division Of Appeals Operations, Medicare Enrollment and Appeals Group
Center for Medicare
U.S. Department of Health and Human Services
Arnall Golden Gregory LLP
Jason M. Green
Chief Advisor and Deputy Ethics Counselor
Office of Medicare Hearings and Appeals
U.S. Department of Health & Human Services
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