AHA Sues Medicare Over Huge Appeals Backlog

Law360, New York (May 23, 2014, 8:02 PM EDT) -- The American Hospital Association and three members sued Medicare on Thursday in D.C. federal court over massive delays in processing appeals of denied payments, seeking an order requiring regulators to speed things up amid a glut of reimbursement disputes.

In its complaint, the AHA argued that hospitals are being driven to the brink of financial ruin as they wait years to resolve appeals that collectively can have big implications. As one example, it pointed to Arkansas-based Baxter Regional Medical Center, which claimed in the suit to have $1.7 million tied up at the administrative law judge level, preventing it from replacing...

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