Medicare Appeals

Medicare Appeals

Author: United States Government Accountability Office

Publisher: Createspace Independent Publishing Platform

Published: 2017-10-21

Total Pages: 52

ISBN-13: 9781978457614

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Medicare Appeals: Disparity between Requirements and Responsible Agencies' Capabilities


Hurry Up and Wait: Our Broken Medicare Appeal System

Hurry Up and Wait: Our Broken Medicare Appeal System

Author: Bob Soltis

Publisher: Lulu.com

Published: 2015-07-30

Total Pages: 100

ISBN-13: 1483434974

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In the last four years, the Chief Judge's office at the Office of Medicare Hearings and Appeals has squandered millions of our tax dollars hiring HQ staff instead of worker bees. It affects all of us, not just those enrolled in Medicare. Hurry Up and Wait relies on the perspective its author gained presiding over more than 3,500 Medicare hearings as an administrative law judge. It gives an overview of Medicare, explains the appeal process, shows how mismanagement at OCALJ and poor work by CMS contractors created a 600,000 case backlog, analyzes proposals to fix the problem, provides real solutions, and shows you how to make your voice heard to make much needed changes in the system. A portion of the proceeds are donated to worthy causes, such as the Center for Medicare Advocacy, and Save Lakewood Hospital. Note: You can buy a book without setting up a Lulu account. Thank you.


Medicare Program - Appeals of CMS Or CMS Contractor Determinations When a Provider Or Supplier Fails to Meet the Requirements (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

Medicare Program - Appeals of CMS Or CMS Contractor Determinations When a Provider Or Supplier Fails to Meet the Requirements (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

Author: The Law The Law Library

Publisher: Createspace Independent Publishing Platform

Published: 2018-07-03

Total Pages: 42

ISBN-13: 9781722363789

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Medicare Program - Appeals of CMS or CMS Contractor Determinations When a Provider or Supplier Fails to Meet the Requirements (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicare Program - Appeals of CMS or CMS Contractor Determinations When a Provider or Supplier Fails to Meet the Requirements (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule implements a number of regulatory provisions that are applicable to all providers and suppliers, including durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers. This final rule establishes appeals processes for all providers and suppliers whose enrollment, reenrollment or revalidation application for Medicare billing privileges is denied and whose Medicare billing privileges are revoked. It also establishes timeframes for deciding enrollment appeals by an Administrative Law Judge (ALJ) within the Department of Health and Human Services (DHHS) or the Departmental Appeals Board (DAB), or Board, within the DHHS; and processing timeframes for CMS' Medicare fee-for-service (FFS) contractors. This book contains: - The complete text of the Medicare Program - Appeals of CMS or CMS Contractor Determinations When a Provider or Supplier Fails to Meet the Requirements (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section