Home Health & Hospice Week
Medicare Claims Appeals System Is Buckling Under Its Own Weight,Senator Says
The overloaded Medicare appeals system is getting attention on Capitol Hill. The Office of Medicare Hearings and Appeals testified in an April 28 hearing that highlighted the backlog. The processing time for claims received by OMHA has quadrupled to 550 days in the last five years, notes The Hill newspaper.
“We definitely feel the urgency,” Nancy Griswold, the chief law judge at OMHA, told the Senate Finance Committee. “We are keenly aware of the impact that these delays are having.”
OMHA received 700,000 claims in fiscal year 2013, compared to 60,000 two years prior. “The appeals system is buckling under its own weight,” Sen. Ron Wyden (D-Ore.) said.
Griswold endorsed the idea of a refundable filing fee to keep out providers gaming the system
Home Health & Hospice Week
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