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21 Jan 2014, 4:35 am
“Beneficiary appeals continue to be assigned as quickly as OMHA can process... [read post]
6 Feb 2019, 10:55 am
Presently, there are 426,594 appeals pending and awaiting OMHA adjudication. [read post]
3 Jul 2014, 1:00 pm
To determine eligibility for the SCF process, OMHA has provided guidelines available here. [read post]
18 Jul 2016, 10:36 am
The proposed rule includes a series of reforms to speed the appeals process, including a provision to expand OMHA’s adjudicator pool by allowing OMHA to reassign a portion of its workload to non-Administrative Law Judge adjudicators. [read post]
28 Jan 2014, 9:00 am
., Board Certified by The Florida Bar in Health Law In December 2013, the US Department of Health and Human Services’ (HHS) Office of Medicare Hearings and Appeals (OMHA) notified hospitals, doctors, nursing homes and other health care providers that due to a backlog of Recovery Audit Contractor (RAC) appeals, the agency would be suspending acting on new requests for hearings filed. [read post]
28 Jan 2014, 9:00 am
., Board Certified by The Florida Bar in Health Law In December 2013, the US Department of Health and Human Services’ (HHS) Office of Medicare Hearings and Appeals (OMHA) notified hospitals, doctors, nursing homes and other health care providers that due to a backlog of Recovery Audit Contractor (RAC) appeals, the agency would be suspending acting on new requests for hearings filed. [read post]
28 Jan 2014, 9:00 am
., Board Certified by The Florida Bar in Health Law In December 2013, the US Department of Health and Human Services’ (HHS) Office of Medicare Hearings and Appeals (OMHA) notified hospitals, doctors, nursing homes and other health care providers that due to a backlog of Recovery Audit Contractor (RAC) appeals, the agency would be suspending acting on new requests for hearings filed. [read post]
20 Feb 2014, 2:12 pm
This announcement was published less than a week after the Office of Medicare Hearings and Appeals (OMHA) Medicare Appellant Forum, which was held to address the current backlog of cases pending at the ALJ level of appeal. [read post]
16 Nov 2012, 2:17 pm
OMHA and CMS responded to each of these recommendations. [read post]
9 Jul 2014, 6:59 am
According to HHS, the settlement conference facilitator, who is an employee of the Office of Medicare Hearings and Appeals (OMHA), will use mediation principles to assist the appellant and CMS in reaching a mutual settlement agreement. [read post]
10 Jul 2014, 6:20 am
Last week, the Office of Medicare Hearings and Appeals (OMHA) announced the Statistical Sampling Pilot Program (Pilot Program). [read post]
30 Dec 2014, 12:32 pm
For example, in 2013, OMHA received 350, 629 appeals and decided only 79, 303 of them. [read post]
9 Dec 2014, 6:36 am
The AMA noted that while it appreciated the recent efforts of the Office of Medicare Hearings and Appeals ("OMHA") to address the issue, the problem does not lie with the OMHA. [read post]
14 Jul 2014, 1:23 pm
The settlement conference facilitator, an employee of the Office of Medicare Hearings and Appeals ("OMHA"), will oversee the process. [read post]
28 Nov 2017, 12:48 pm
In addition, OMHA intends to expand its Settlement Conference Facilitation (SCF) alternative dispute resolution process for certain appellants that are not eligible for the LVA option. [read post]
12 Apr 2018, 3:00 am
(April 12, 2018): A big concern with the Medicare appeals process is the ghastly backlog at the Office of Medicare Hearings and Appeals (OMHA) for an Administrative Law Judge (ALJ) hearing coupled with the government’s authority to recoup alleged overpayments after the second level of appeal (reconsideration). [read post]
16 Dec 2012, 10:48 pm
There are currently 65 OMHA ALJs in 4 regional field offices. [read post]
16 Dec 2012, 10:48 pm
There are currently 65 OMHA ALJs in 4 regional field offices. [read post]
16 Dec 2012, 10:48 pm
There are currently 65 OMHA ALJs in 4 regional field offices. [read post]
