Home Health & Hospice Week
Appeals Timeframes Continue To Lengthen
Expect typical processing time for appeals decisions to exceed 540 days.
Due to the overwhelming receipt levels and already huge backlog of Medicare claims appeals, don’t hold your breath when you’re waiting for the HHS Office of Medicare Hearings and Appeals to hear your appeal. The average processing time for appeals decisions in 2015 is a whopping 547 days, and OMHA projects a 20- to 24-week delay in entering (“docketing”) new requests into its case processing system.
OMHA processing time has changed drastically in the past decade. In fiscal year 2009, average processing time was 94.9 days; 109.6 days in FY 2010; 121.3 days in FY 2011; 134.5 days in FY 2012; 220.7 days in FY 2013; 414.8 days in FY 2014; and 547.1 days in FY 2015. And check out these statistics for OMHA decisions:
Home Health & Hospice Week
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Avoid OASIS-Claims Matching Reimbursement Drain
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No OASIS? No Problem - For Now
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Prepare For Medicare Appeals Process To Change Drastically
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Are Medicare Appeal Fees In Your Future?
OMHA proposals to shorten appeals timeframes could restrict your appeal rights, advocates warn. In addition [...] - Know Your Facts:
Appeals Timeframes Continue To Lengthen
Expect typical processing time for appeals decisions to exceed 540 days. Due to the overwhelming [...] - Industry Notes:
Wait Until October For These Payment Fixes
Date set for correction of 2 recoding errors. If you’ve seen problems with your home [...] - Industry Notes:
Examine These New Changes To the HIS Manual
You can take a look at the updated Hospice Item Set Manual before you listen [...] - Industry Notes:
Here's How To Handle ICD-10 For Claims Spanning Oct. 1
With the Oct. 1 start date for ICD-10 implementation less than four months away, now’s [...] - Industry Notes:
DOJ Probes Amedisys Again, This Time Over Hospice
The feds are combining two of their favorite investigation targets — hospice patients and publicly [...] - Industry Notes:
Bill To Kill 'Super-MedPAC' Advances In House
Many home care providers will be happy if a bill recently passed out of committee [...] - Industry Notes:
CMS Revises ACO Program To Increase Participation
You’d better polish up your negotiating skills, because it looks like Medicare Accountable Care Organizations [...] - Industry Notes:
GAO Urges Inter-Agency Cooperation For Home Care
The federal government may be able to make home care available to more seniors if [...] - Industry Notes:
Whistleblower Sparks $6.5M Fraud Settlement
A Tennessee home care organization and its owner have agreed to pay $6.5 million to [...]
