tci Medicare Compliance & Reimbursement - 2008 Issue 2

Industry Notes: ALJs' Independence Threatened By Proposed Rule

Plus: Post-acute care demonstration to roll out in 10 cities Seniors could have a much tougher time getting a fair shake at the administrative law judge (ALJ) level if a new proposed rule is finalized. The Department of Health and Human Services (HHS) wants to compel ALJs and the HHS Departmental Appeals Board (DAB) to follow published guidance issued by HHS or its components -- including the Centers for Medicare & Medicaid Services (CMS). The proposed rule aims "to ensure that the final administrative decision of the Department reflects the considered opinion of the Secretary of Health and Human...

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