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AMERICAN HOSPITAL ASSOCIATION et al v. SEBELIUS

  1. November 02, 2018

    Timeline Set For HHS To Clean Up Medicare Appeals Backlog

    A D.C. federal judge has said the U.S. Department of Health and Human Services has until the end of 2022 to completely clean out a backlog of thousands of Medicare billing appeals, noting that HHS has been given the funding to address the pileup.

  2. March 07, 2017

    Clearing Medicare Backlog Quickly Is Impossible, HHS Says

    The U.S. Department of Health and Human Services won't be able to meet a court-imposed deadline to clear a backlog of Medicare billing appeals unless it settles the claims without actually seeing if they have merit, the agency told a D.C. federal court Monday.

  3. January 04, 2017

    HHS Must Clear Hospital Appeals Backlog, Judge Rules

    A D.C. federal judge refused Wednesday to rescind an order requiring the U.S. Department of Health and Human Services to clear a huge backlog of hospital billing claims, despite government assertions that meritless claims will inevitably be paid.

  4. January 02, 2017

    Health Care Cases To Watch In 2017

    Pivotal court developments in 2017 will profoundly affect fraud liability, Medicare reimbursement and billions of dollars in Affordable Care Act subsidies for doctors, hospitals and health insurers, experts say. Here's a look at major cases to watch.

  5. December 16, 2016

    HHS Decries 'Impossible' Order On Medicare Appeals Backlog

    The U.S. Department of Health and Human Services on Thursday protested a D.C. federal judge's order requiring it to eradicate its backlog of Medicare billing appeals by 2021, saying that to do so would be "impossible" without improperly paying claims, regardless of their merit.

  6. December 06, 2016

    HHS Must Put End To Medicare Appeals Backlog

    The U.S. Department of Health and Human Services will have to eradicate its million-claim backlog of Medicare billing appeals by 2021, after a D.C. federal judge on Monday approved the American Hospital Association's proposed timeline in a suit over the appeal delays.

  7. September 19, 2016

    Feds Refused Delay In Medicare Appeals Backlog Suit

    A D.C. federal judge refused Monday to give government officials more time to reduce a million-claim backlog of Medicare billing appeals lodged by hospitals around the country, calling proposed fixes either inadequate or unlikely to materialize.

  8. June 14, 2016

    Feds Peddling 'Fiction' On Medicare Appeals, Hospitals Say

    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.

  9. December 19, 2014

    AHA Suit Over Medicare Appeals Backlog Gets Junked

    A D.C. federal judge on Thursday threw out an American Hospital Association lawsuit aimed at forcing Medicare to ease an epic backlog of disputed billing claims, finding that court intervention isn't appropriate.

  10. October 03, 2014

    Hospitals Claim Hardships As Medicare Appeals Pile Up

    Hospitals are facing financial ruin after waiting years for the U.S. Department of Health and Human Services to decide on nearly a million Medicare claim appeals, the American Hospital Association said Thursday, urging a federal court to allow its lawsuit over the backlog to advance.

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