Tag Archives: ALJ

“Finally Friday!” ALJ Training Given by OMHA, CMS and MAC

FRIDAY December 2, 2016: “ALJ Training Given by OMHA, CMS and MAC” or We finally get a peek behind the curtain and… maybe this is how Dorothy felt? Get the Handouts Sponsored by The Health Law Partners and ZirMed THIS … Continue reading

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Via: Medicare Appeals Delay Case Moves Forward

As many hospitals, as well as other health care providers and suppliers with pending requests for ALJ hearing are acutely aware, lengthy adjudication delays exist within the Medicare appeals process. These delays are most significant at the third level of … Continue reading

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“Finally Friday!” Strategies for Medicare Level 3 Appeals

FRIDAY October 17, 2014 Medicare Appeals at Level 3: Providers Left in the Lurch Veteran Appeals Attorneys Review Recent Experiences with ALJs How Can You Prepare & Respond? Watch the Replay and Get the Handouts Since CMS began re-educating the … Continue reading

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CMS Report Reveals 77% of Appealed RAC Denials Are Improper

Figures Show 55% of RAC Denials Are Improper If you read my previous article and then read the CMS Report to Congress for the RAC Program in FY2013, you can find figures that tell the story in the title of … Continue reading

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CMS FY 2013 Recovery Auditing Report to Congress Released

How CMS Continues to Mislead with Statistics CMS posted their report to Congress on recovery auditing in Medicare for FY2013, including many tables, charts and limited explanations, plus a bevy of perhaps accurate but misleading figures and percentages, obviously intended … Continue reading

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News from the Week of February 14

OMHA Forum Shockers Quoting staggering numbers of appeals that are stuck in the mail room, much less not yet assigned to a Judge, the Administration Law Judges gave an organized forum. Chief ALJ Nancy Griswold stated that OMHA is committed … Continue reading

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“Finally Friday!” Interview: Former ALJ Nick Urevich

This session was recorded on Friday, May 24, 2013. Former CMS Administrative Law Judge Constantin “Nick” Urevich, now a practicing attorney in Los Angeles, speaks today about his experience hearing over 3,000 cases during his six year tenure working for … Continue reading

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“Finally Friday!” ALJs, ZPICs and Extrapolation

This session was recorded on Friday, April 26, 2013. Amy Fehn, a partner at Wachler Associates, goes over some recent experiences with ALJ hearings, including lost medical records — lost by the QIC! Amy also provides some excellent advice about … Continue reading

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