Tuesday, March 14, 2017

HHS Says it Can't Clear Medicare Appeals Backlog by 2021 Deadline




Modern Healthcare reported this week that HHS officials say they don't have the money or resources to wipe out their pending Medicare billing appeals by a December 2016 court-imposed 2021 deadline. HHS filed a report with the U.S. District Court in the District of Columbia this week that they haven’t been able to effectively reduce its Medicare billing appeals backlog, and it has even more pending appeals than previously anticipated. HHS said there are currently 667,326 pending appeals, and it projects the number of pending appeals will rise 3% by the end of 2017 to 687,382. That number will eventually rise 46% by the end of 2021 to just over 1 million claims. HHS claims that complying with the plan is “not possible given current funding and legislative authorities.”

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