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 Mismanagement

Medicare Mismanagement

Author: United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Energy Policy, Health Care, and Entitlements

Publisher:

Published: 2014

Total Pages: 60

ISBN-13:

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A Practical Guide to Medicare Appeals

A Practical Guide to Medicare Appeals

Author: Kathleen Scully-Hayes

Publisher: American Bar Association

Published: 2007

Total Pages: 436

ISBN-13: 9781590318270

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A Practical Guide to Medicare Appeals describes the steps necessary to successfully resolve appeals of all types of Medicare determinations. Co-authored by a CMS hearing officer and a private practitioner with years of Medicare appeals experience, this book will walk practitioners through every step of the very confusing and sometimes self-contradictory rules so that appeals can be decided on their merits rather than barred for procedural rules violations.


Medicare

Medicare

Author: Leslie G. Aronovitz

Publisher: DIANE Publishing

Published: 2005-11

Total Pages: 72

ISBN-13: 9781422302699

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Two fed. agencies -- the Dept. of Health & Human Services (HHS) & the Social Security Admin. (SSA) -- play a role in resolving Medicare appeals, but neither agency manages the entire process. In Dec. 2000, an Act mandated appeals reform, including stricter time frames for processing Medicare appeals. Another Act in 2003 mandated that SSA transfer its Medicare appeals workload to HHS in 2005 to consolidate Medicare appeals within a single federal agency. This report: (1) assesses the agencies' progress in preparing to implement the transfer; & (2) determines how HHS spent funds appropriated for transferring the appeals workload from SSA to HHS & related activities in FY 2004 & the first half of FY 2005. Charts & tables.