Tag:

appeals process

Latest Headlines

Latest Headlines

CMS issues final rule on appeal rights for applicable plans

The Centers for Medicare & Medicaid Services  issued a final rule last week regarding the formal appeals process for applicable plans in situations where the agency seeks Medicare Secondary Payer recovery from an applicable plan. The rule is effective April 28.

Medicare faces huge backlog of claims appeals

Medicare officials must work through the program's huge backlog of appeals claims, which is currently taking more than 500 days, senators said during a hearing on Medicare audits and appeals Tuesday.

CMS struggling to fix enrollment errors

About 22,000 people have filed appeals with the government about errors HealthCare.gov made when they signed up for coverage, but the federal exchange website isn't much help.

Feds prioritize beneficiary hearings, postpone provider appeals

The Office of Medicare Hearings and Appeals suspended work on new hearing requests from healthcare providers to clear a backlog of about 357,000 pending beneficiary appeals, according to reports by McKnight's and The Washington Post.

Proposed legislation increases Meaningful Use exemptions

A new bill introduced in the House would ease the pain for some eligible professionals struggling to implement electronic health record systems in accordance with Meaningful Use incentive program requirements.

UnitedHealthcare, Aetna, Humana to uphold reform provisions

UnitedHealthcare is leading an industry-driven effort to uphold some health reform provisions, regardless of the U.S. Supreme Court's ruling on the law's constitutionality. After the country's biggest insurer made its announcement Monday, Aetna and Humana followed suit.