Monthly Archives: February 2016

Appeals Court Rules in Favor of Providers on Medicare Claims Appeal Backlog

In an opinion issued on February 9th, the U.S. Court of Appeals for the District of Columbia Circuit reversed a lower court’s dismissal of the lawsuit filed by the American Hospital Association (AHA) and a group of hospitals that seeks to compel the U.S. Department of Health and Human Services (HHS) to meet its mandated deadlines for reviewing Medicare claims denials. The Appeals Court decision remands the case back to the district court for review and determination of whether HHS’ delay is so egregious as to warrant an order to compel the agency to comply with the statutory deadlines.

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