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Tag Archives: Judge Nancy Griswold
U.S. Senate Committee blames providers for appeals backlog
Forget the denials, reduce the appeals The U.S. Senate Finance Committee heard testimony and expressed dismay yesterday about the humongous backlog of appeals at the Office of Medicare Hearings and Appeals (OMHA), now totaling over 870,000 appeals, according to testimony … Continue reading
Posted in Academy Blog
Tagged administrative law judge, cms rac, Judge Nancy Griswold, maximus, medicare appeals, nancy griswold, OMHA, omha backlog, qic, senate
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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
News from the Week of February 28
The Pause Expands Last Month, CMS extended the pause (I refuse to call it a moratorium) on RAC reviews of Medicare claims under the 2 Midnight Rule to a full year, from Oct. 1, 2013 to Sept. 30, 2014. MACs, … Continue reading