Search for: "Medicare Appeals Council"
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2 Jul 2012, 11:57 am
On June 28, 2012, the Third Circuit became the first Federal court of appeals to address the secondary payer rights of Medicare Advantage Organizations (also known as Medicare Part C plans). [read post]
2 Jul 2012, 11:57 am
On June 28, 2012, the Third Circuit became the first Federal court of appeals to address the secondary payer rights of Medicare Advantage Organizations (also known as Medicare Part C plans). [read post]
13 Apr 2023, 8:41 am
Council on Long Term Care, Inc., 529 U.S. 1, 19 (2000) (so interpreting Michigan Academy). [read post]
24 Jul 2012, 11:04 am
Francis sought to raise before the ALJ and the Medicare Appeals Council the RAC's compliance with the "good cause" standard and like in Palomar, the ALJ and Medicare Appeals Council refused to consider this issue based on 42 CFR 926(l). [read post]
13 Apr 2017, 5:15 am
Council 82, AFSCME, AFL-CIO v New York Pub. [read post]
28 Mar 2013, 6:11 am
The Administrator’s Ruling (CMS Ruling Number CMS-1455-R) stems from an influx of Administrative Law Judge (ALJ) and Medicare Appeals Council (MAC) decisions upholding Medicare review contractors’ decisions denying inpatient admissions as not reasonable and necessary, but ordering payment of all services at issue as though they were rendered at an outpatient level of care. [read post]
5 Sep 2012, 3:24 am
Natural Resources Defense Council, Inc. required the Court to uphold the Secretary’s decision. [read post]
5 Sep 2012, 3:24 am
Natural Resources Defense Council, Inc. required the Court to uphold the Secretary’s decision. [read post]
5 Sep 2012, 3:24 am
Natural Resources Defense Council, Inc. required the Court to uphold the Secretary’s decision. [read post]
9 Aug 2012, 7:41 am
The ALJ, the Medicare Appeals Council and the District Court all denied Dr. [read post]
20 Jul 2015, 9:37 pm
Court of Appeals for the District of Columbia Circuit ruled on two regulations implemented by the Centers for Medicare and Medicaid Services (CMS) under the federal Stark law (Stark) in 2008. [read post]
30 Nov 2012, 5:25 am
The HHS OIG has issued its Semiannual Report, which announces approximately $6.9 billion in expected audit and investigative recoveries, along with reports on HHS management challenges, least costly alternative drug policy, personal care services, the Medicare appeals process, and hospital present on admission indicator reporting. [read post]
30 Aug 2017, 5:00 pm
The entire appeals process was designed to take less than one year to complete and set time limits on each stage of the appeal: 60 days for stage one, the redetermination; 60 days for stage two, the reconsideration; 90 days for stage three, the hearing before the ALJ; and 90 days for stage four, the hearing before the Medicare Appeals Council. [read post]
11 May 2009, 5:33 pm
However, at the fourth appeal level the Medicare Appeals Council (MAC) subsequently reversed the ALJ’s decision, holding that the ALJ lacked jurisdiction to determine whether the reopening of the claim was lawful. [read post]
1 Dec 2010, 8:57 am
Mayor and City Council of Baltimore [494 F. [read post]
1 Apr 2011, 8:03 am
The plaintiff unsuccessfully appealed that decision to both the Office of Medicare Hearings and Appeals and the Medicare Appeals Council. [read post]
18 Nov 2014, 6:48 am
Court of Appeals for the Federal Circuit to overturn a ruling which would allow Centers for Medicare and Medicaid ("CMS") to modify payment terms for Recovery Auditor ("RAC") contracts. [read post]
26 Apr 2009, 6:16 pm
As part of a 5 year review by the Health Professions Regulatory Advisory Council (HPRAC), a number of changes will become effective June 4 2009 under Bill 171. [read post]
26 May 2022, 4:00 am
Council 82, AFSCME, AFL-CIO v New York Pub. [read post]
26 May 2022, 4:00 am
Council 82, AFSCME, AFL-CIO v New York Pub. [read post]
