tci Medicare Compliance & Reimbursement - 2003 Issue 8

Home Health: HHAs WANT CMS TO KEEP HANDS OFF ALJs

The Centers for Medicare & Medicaid Services’ campaign to reform the appeals process isn’t convincing everyone. Advocates for home health agencies are sharply critical of proposed changes. The House Ways and Means Health Subcommittee held a hearing on the matter Feb. 13, hosted by chair Nancy Johnson (R-CT) and ranking minority member Pete Stark (D-CA). At the hearing, CMS Administrator Tom Scully emphasized CMS’ determination to get the administrative law judges under its wing. “We are proceeding toward the transfer to CMS of the Medicare hearing function currently performed by the Administrative Law Judges (ALJ) in the...

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