Medicare Appeals Backlog Update: Key Things to Know

medicare appealBy: Matthew Fischer

Aside from the half million already pending before the Office of Medicare Hearings and Appeals (OMHA), OMHA indicates that it receives more appeals each year than its total annual adjudication capacity and has hit its maximum limits given their current resources.  With these numbers, the current estimated wait time is 3 years for an Administrative Law Judge (ALJ) to process an appeal.  Though recent developments in the litigation involving the U.S. Department of Health and Human Services (HHS) and American Hospital Association (AHA) offered little hope for a resolution, OMHA’s implementation of new settlement initiatives may present a better strategic option for appellants.Continue reading