AHA and three member hospitals today recommended to a federal district court four non-deadline remedies to reduce the backlog of Medicare billing appeals awaiting adjudication at the Administrative Law Judge level, while maintaining that the agency has failed to show that it cannot clear the backlog within five years as previously ordered. AHA and the hospitals said four broad categories of non-deadline remedies together would make a “non-trivial dent” in the backlog of appeals: Recovery Audit Contractor controls; settlements; relief from the negative impacts of the backlog; and agency maintenance of effort and periodic status reporting. “The D.C. Circuit remanded to this Court for the Court to decide what is possible to solve the backlog, not a freewheeling inquiry as to what steps HHS would prefer to take to solve the backlog,” they wrote. “Each remedy propose[d] is legal and not futile, and that is all the Court must find to order HHS to carry those steps out.” In April, U.S. District Judge James Boasberg expressed frustration with HHS’s lack of progress and asked AHA and the hospitals for additional input on how to solve the appeals backlog. The brief will be posted later today at https://www.aha.org/legal/litigation

Related News Articles

Headline
The House of Representatives last night voted 419-6 to pass legislation (H.R. 748) that would repeal the 40% excise tax on high-value employer-sponsored health…
Headline
The ERISA Industry Committee has withdrawn its support for legislation approved yesterday by the House Energy and Commerce Committee to address surprise…
Headline
The House Energy and Commerce Committee today approved legislation to address surprise medical bills and Medicaid disproportionate share hospital cuts.
Headline
Congress should pass legislation that would protect patients from surprise medical bills; preserve the ability of providers and insurers to negotiate private…
Headline
The Centers for Medicare & Medicaid Services yesterday released a proposed rule that would revise certain requirements for long-term care facilities.
Headline
The House Energy and Commerce Subcommittee on Health today passed the No Surprises Act (H.R. 3630), bipartisan legislation that would prohibit balance billing…