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Healthcare Industry News

HHS proposes significant changes to the Medicare appeals process

The U.S. Department of Health and Human Services (HHS) issued a Notice of Proposed Rulemaking (NPRM) on changes to the Medicare claims appeal process. The NPRM is part of the Administration’s efforts to address the unprecedented and sustained increase in the number of appeals and to eliminate the backlog of appeals currently pending at the Office of Medicare Hearings and Appeals (OMHA) and the Departmental Appeals Board (DAB).  

For more read the HHS blog post.

Click here for the Federal Register publication. 

Refer here for the Primer on the Medicare Appeals process.

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