Office Of Medicare Hearings And Appeals

Congressional lawmakers grill top ALJ on appeals backlog, say too many providers are being put out of business


Efforts to root out Medicare fraud have put far too many above-board providers in auditors' crosshairs, leading to a staggering backlog of appeals that has no easy fix, Congressional lawmakers and a top government official said during a hearing Thursday.

CMS announces Medicare appeals without administrative law judge hearings


Long-term care providers will be able to appeal certain Medicare claims decisions without going through an administrative law judge hearing, the Office of Medicare Hearings and Appeals (OMHA) announced Thursday.