In a brief filed today in federal court, the AHA and three member hospitals reaffirmed their support for four broad categories of non-deadline remedies to reduce the backlog of Medicare billing appeals awaiting adjudication at the Administrative Law Judge level. They also proposed that the court reconsider a deadline-based remedy, since the Department of Health and Human Services recently reported that it has the budget to adjudicate more appeals, and expects a 2022 end date for the backlog. In light of that projection, HHS urged the court to require only periodic status reports. “Ordering a deadline-based remedy in addition to requiring periodic status reports … will have two important effects,” today’s brief from AHA and the hospitals points out. “First, making a deadline binding and not just aspirational will keep HHS from backsliding. … Second, entering a deadline with fixed reduction targets each year along the way gives HHS an aggressive goal and ensures steady interim progress.”

Related News Articles

Headline
The AHA July 3 released the Health Care Plan Accountability Update for the second quarter of 2025. The update covers the latest developments in Medicare…
Headline
The Departments of Justice and Health and Human Services today announced the creation of the DOJ-HHS False Claims Act Working Group to combat health care fraud…
Headline
The Centers for Medicare & Medicaid Services today announced it has identified a fraud scheme targeting Medicare providers and suppliers. CMS said scammers…
Headline
A report released June 17 by NORC at the University of Chicago, commissioned by the Coalition to Strengthen America’s Healthcare, found that patients enrolled…
Headline
The Centers for Medicare and Medicaid Services May 30 released a notice requesting comments on a proposed Medicare Advantage service level data collection…
Headline
The AHA commented to the Centers for Medicare & Medicaid Services June 10 on the fiscal year 2026 inpatient prospective payment system proposed rule (https…