NCMS Signs On to Letter Urging Solution to Medicare Appeals Backlog

The North Carolina Medical Society (NCMS) was one of 87 specialty and state medical societies to sign on to a letter to the Office of Medicare Hearings and Appeals (OMHA) urging a comprehensive solution to the Medicare appeal backlog problem so that appealed cases may be assigned and adjudicated without delay.

It is well documented that Medicare Recovery Auditors (RAC) have a poor record of accuracy. In fact, the most recent Centers for Medicare & Medicaid Services (CMS) RAC report to Congress stated that nearly 44 percent of provider-appealed RAC determinations are overturned.

By delaying the assignment of cases to an administration law judge for more than two years, OMHA is denying due process which is predicated on the timely disposition of disputes for physicians and other providers who experience erroneous determinations by Medicare contractors.

Read the entire letter here. Watch the Bulletin for updates on the response.


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