Distance Learning

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]
Co-sponsoring AHLA Groups:

  • [Insert sponsor name]

Maria Ramirez

Director, Division Of Appeals Operations, Medicare Enrollment and Appeals Group

Center for Medicare
U.S. Department of Health and Human Services
Baltimore, MD

Lanchi Bombalier

Partner

Arnall Golden Gregory LLP
Atlanta, GA
Bio

Jason M. Green

Chief Advisor and Deputy Ethics Counselor

Office of Medicare Hearings and Appeals
U.S. Department of Health & Human Services
Washington, DC
Bio

On-Demand+CLE Webinars

On-Demand+CLE webinars are eligible for Continuing Legal Education (CLE) credit and are approved in every state with mandatory CLE requirements for attorneys unless otherwise specified. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

On-Demand Webinars

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