Feds Peddling 'Fiction' On Medicare Appeals, Hospitals Say

Law360, New York (June 14, 2016, 2:53 PM EDT) -- Federal regulators are forecasting that unrealistic reductions will be made on a backlog of Medicare billing appeals in order to avoid court-ordered remedies, the American Hospital Association told a D.C. federal judge on Monday.

In a forcefully worded brief, the AHA took aim at a recent request by the U.S. Department of Health and Human Services to pause litigation over the backlog until October 2017. That request is premised on unreliable predictions about various proposals to ease the backlog of nearly 800,000 claims that is growing daily, the association says.

Earlier this year, the D.C. Circuit said a court-ordered fix may be...

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