Monday, June 9, 2014

CMA Sues HHS Over Medicare Process

Dianne De La Mare

The Center for Medicare Advocacy (CMA) has filed a class action lawsuit against the US Health and Human Services (HHS), alleging that the first two levels of the five level Medicare appeals process are merely “rubber stamp” coverage denials. According to CMA Executive Director, Judith Stein, “Most beneficiaries don’t have the resources, time or support to take their claims all the way to an Administrative Law Judge making the first two levels of review vitally important. ‘Rubber-stamping’ appeals deprives a huge number of people a legitimate review process and harms those who depend on the Medicare coverage for critical health care and to maintain their quality of life.” This CMA suit was filed just weeks after the American Hospital Association (AHA) sued HHS over the backlog at the third level of appeal to compel the agency to meet the statutory deadlines for reviewing a Medicare appeal.

No comments:

Post a Comment