Providers who want to have an administrative law judge consider a Medicare claim appeal can save their breath and memos for now.
Long-term care advocates anxious about the stalled Medicare claim appeals process were not soothed after a forum with government officials Wednesday. Last month, providers learned that new appeals to administrative law judges would not be heard for at least two years.
A nursing home appealing a Medicare and Medicaid termination must meet numerous criteria to qualify for a stay of the termination, even if the facility will likely close before the appeal is decided, a federal judge has ruled.
Long-term care providers filing to have a Medicare claims appeal heard by an administrative law judge will not have the case assigned to a judge for at least two years, according to the Office of Medicare Hearings and Appeals.
The Centers for Medicare & Medicaid Services was justified in fining a Kentucky skilled nursing facility $4,050 a day for three months following a resident's death, a U.S. Appeals Court recently ruled.
Looks like CMS and nursing home inspectors have more than a little egg on their face, thanks to a recent circuit court ruling in favor of a wrongly accused operator.