AHA Says DC Circ. Must Resolve Medicare Appeals Backlog

By Daniel Wilson (November 9, 2015, 4:13 PM EST) -- The American Hospital Association urged the D.C. Circuit Monday to intervene in a dispute with the U.S. Department of Health and Human Services over a massive backlog of appeals regarding Medicare billing recovery claims, saying only a court order could stop HHS dragging its feet.

After two initial administrative stages, the agency has a statutory duty to decide appeals of rulings made by so-called recovery audit contractors, or RACs, within 90 days after a request for administrative hearing, Hogan Lovells attorney Cate Stetson, representing the AHA and three hospitals, told a three-judge panel at oral argument. But current wait times extend...

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