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9 Aug 2016, 2:48 pm
According to CMS, the Office of Medicare Hearings and Appeals (OMHA) had more than 750,000 pending appeals as of April 30, 2016, while it has only an adjudication capacity of 77,000 appeals per year. [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]
1 Jul 2016, 1:55 pm
An Appendix to the Report outlines the following legislative proposals related to the Medicare Fee-For-Service Appeals Process: Provide the Office of Medicare Hearings and Appeals (OMHA) and Departmental Appeals Board (DAB) authority to use Recovery Auditor (RA) collections (to expand the authority of HHS to allow RA program recoveries to fully fund RA-related appeals at OMHA and DAB) Establish a refundable filing fee (to allow HHS to invest in the appeals system to improve… [read post]
1 Jul 2016, 1:55 pm
An Appendix to the Report outlines the following legislative proposals related to the Medicare Fee-For-Service Appeals Process: Provide the Office of Medicare Hearings and Appeals (OMHA) and Departmental Appeals Board (DAB) authority to use Recovery Auditor (RA) collections (to expand the authority of HHS to allow RA program recoveries to fully fund RA-related appeals at OMHA and DAB) Establish a refundable filing fee (to allow HHS to invest in the appeals system to improve… [read post]
25 Feb 2016, 3:45 pm
OMHA reported that the FY 2016 Omnibus Bill marks the greatest increase in funding OMHA has ever received. [read post]
25 Feb 2016, 8:49 am
More information on the SCF pilot can be found on OMHA's website. [read post]
25 Feb 2016, 3:49 am
Recently, OMHA announced that it will open Phase III of the SCF pilot, expanding the program to Part A claim appeals. [read post]
13 Oct 2015, 12:06 pm
The HHS Office of Medicare Hearings and Appeals (OMHA) has announced that it is expanding its Settlement Conference Facilitation pilot’s eligibility criteria to include more pending appeals. [read post]
1 Oct 2015, 9:22 am
On October 15, 2015, the Office of Medicare Hearings and Appeals (OMHA) will be hosting an open door teleconference to discuss the expansion of its Settlement Conference Facilitation (SCF) Pilot. [read post]
1 Oct 2015, 4:22 am
On October 15, 2015, the Office of Medicare Hearings and Appeals (OMHA) will be hosting an open door teleconference to discuss the expansion of its Settlement Conference Facilitation (SCF) Pilot. [read post]
15 Jun 2015, 5:36 am
Require OMHA to conduct annual training for all ALJs and Medicare Magistrates on Medicare policies. [read post]
19 May 2015, 8:23 am
Wachler & Associates continues to monitor the OMHA appeal backlog, and our attorneys have attended two OMHA Medicare Appellant Forums hosted by OMHA and CMS in Washington D.C. [read post]
28 Apr 2015, 12:55 pm
ECAPE will allow OMHA to take advantage of the effectiveness and efficiency that electronic processing has to offer; this change will be a significant benefit for the appellants requiring information from OMHA. [read post]
23 Feb 2015, 10:27 am
OMHA projects that these filing fees will amount to $5 million, which will in turn fund 119 ALJ teams. [read post]
3 Feb 2015, 1:47 am
On February 2, 2015, the Obama Administration released its proposed federal budget for fiscal year (FY) 2016. [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]
17 Dec 2014, 5:48 am
For instance, the report: expresses concerns about a CMS proposal to eliminate critical access hospital status for certain rural facilities; requests CMS to report on the impact of competitive bidding on treatment patterns of enteral nutrition patients residing in LTC facilities; directs CMS to review billing rules regarding implantable pain pump drugs; requests that CMS develop proposals to encourage short-cycle dispensing of outpatient prescription drugs in LTC facilities; directs CMS to educate… [read post]
9 Dec 2014, 6:44 am
Additionally, the AHA asserted that the lack of critical operational information discourages hospitals from participating in the OMHA established pilot program. [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]
5 Nov 2014, 5:21 am
The HHS Office of Medicare Hearings and Appeals (OMHA) is seeking public comments on ways to address the substantial growth in the number of hearing requests being filed with OMHA and the backlog of pending cases. [read post]
