Required

Fixing Backlog of Medicare Appeals Costly, Elder Law Attorney, Woodstock, GA


The Congressional Budget Office estimates that a bill to fix the backlog in Medicare appeals could cost $1.7 billion.

The Audit & Appeals Fairness, Integrity, and Reforms in Medicare Act is a bipartisan effort in the Senate to help with the current backlog in processing and adjudicating Medicare appeals, which is currently 587 days. The situation is so severe that the United States Court of Appeals for the District of Columbia Circuit has ordered a review to determine if the Department of Health and Human Services should be required to stick to the normal 90 day deadline for administrative law judge appeals.

The Senate bill would require an online portal to be built so the status of claims could be monitored. It would also create an ombudsman position to help educate providers about the process and clear up any problems. Most importantly, the bill would create new magistrates with the power to decide smaller claims, which would free up administrative law judges to more quickly hear larger appeals.

As the bill is on the Senate’s legislative agenda for this year the Congressional Budget Office has issued a report on it and determined that implementation would cost $1.7 billion over the first 10 years.

McKnight’s reported this story in “Bill to expedite Medicare appeals expected to cost $1.7 billion.”

Despite the high costs of this bill, it is important to do something about the current length of Medicare appeals. Providers need to know what services will be paid so they can best treat their patients and avoid practices that might lead to a denial of coverage.

If the Senate does decide that this proposal is too costly, it can only be hoped that they quickly come up with a better one.

Reference: McKnight’s (Feb. 18, 2016) “Bill to expedite Medicare appeals expected to cost $1.7 billion.”

Hear From Our Clients
tes-prev
tes-next

I heard Cindy’s presentation at a Senior Luncheon at my church, and was very impressed. She helped my daughter and me understand many aspects of elder law. Josh has also been very helpful in my planning to enter an independent living situation . I have told many friends about them.

- Charlotte

The very best elder law attorney and staff anyone could ever ask for! I have referred a number of clients to Cindy and she never disappoints. She is kind, caring, and extremely thorough in making sure everything is completed as it should be. I highly recommend Cindy for anyone needing lawyer services; she truly goes above and beyond for every client she helps and has had a huge impact in so many peoples’ lives. Thank you, Cindy and staff, for everything that you do- I’m so glad to know you!

- Kerri

Cindy and the Nelson Elder Care Law team are trustworthy and helpful. They are the experts in elder care law. At Leaf Cremation, we entrust our families to the care of the Nelson team when their services are needed.

- Pierce

Josh Nelson, and his staff, have been amazingly helpful to our family. The ins and outs of nursing homes, the rules and regulations that govern Medicare and Medicaid are daunting and the folks at Nelson Elder Care Law have been informative, responsive, and above all, empathetic. I cannot emphasize enough how their service has taken a weight off of our shoulders especially during a world pandemic that has targeted nursing homes across our country. I highly recommend retaining Josh and his firm!

- Marcia

I had a simple legal question to them that I needed answered and they very helpful in giving me the information I needed. I highly recommend them and will reach out to them if I need more advice or assistance. Thank you for taking your time to just answer a couple of questions I had!

- Ben