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Monthly Archives: January 2014
OPGA to Attend Medicare Audits Hearings & Appeals Forum, Seeks Stories
The recent memorandum sent to Medicare appellant from Chief Administrative Law Judge Nancy Griswold detailing the incredible appeals backlog, and subsequent decision to suspend assigning dates for new ALJ hearings for the next 24 months, has created a fervor of … Continue reading
Posted in Orthotics and Prosthetics, Prosthetist, re provider
Tagged alj, audits, independent, medicare, omha, opga, orthotics, prosthetics
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Group Representing RAC’s Blasts ALJ Delays, Seeks Reform
Add the Medicare contractors lobby to the growing chorus of stakeholders calling for reforms to the current Medicare appeals process, specifically the recently announced delays to Administrative Law Judge (ALJ) level appeals. The American Coalition for Healthcare Claims Integrity (ACHCI), which represents Medicare contractors, … Continue reading
Posted in Orthotics and Prosthetics, Patient, Prosthetist, re provider
Tagged alj, audits, backlog, opga, orthotics, prosthetics
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Chief ALJ Details 460k Appeals Backlog, Suspension of Hearings
A recently obtained memorandum from the Office of Medicare Hearings and Appeals (OMHA) Chief Administrative Law Judge Nancy Griswold to Medicare providers awaiting multiple Administrative Law Judge appeal hearings details the exponential growth in appeals to Medicare audits. The letter provides the most … Continue reading
Posted in Orthotics and Prosthetics, Prosthetist, re provider
Tagged alj, audits, dennis clark, opga, orthotics, prosthetics, recoupment
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Obamacare Update: State Health Exchanges, Medicaid See Enrollment Surge
As the calendar turns to 2014 and the Affordable Care Act (aka, Obamacare) continues moving its way through implementation, now is a good time to provide an update on the much-maligned state health exchange rollout and Medicaid expansion enrollment data to get … Continue reading
Posted in Orthotics and Prosthetics, Patient, re provider
Tagged medicaid, obamacare, opga, orthotics, point, prosthetics
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PECOS Phase II Active for Claims Beginning January 6, 2014
Phase 2 of the controversial Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) program becomes active for claims submitted to Medicare beginning Monday, creating more headaches for those filing orthotic and prosthetic claims for Medicare patients. After delaying Phase 2 … Continue reading
Posted in Orthotics and Prosthetics, Patient, Prosthetist, re provider
Tagged medicare, opga, orthotics, pecos, phase ii, prosthetics
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