P25: Significant Regulatory Changes and OMHA Initiatives Impacting the Medicare Appeals Process  


Andrew B. Wachler, Partner, Wachler & Associates, P.C.

Nancy Griswold, Chief Administrative Law Judge, Department of Health and Human Services, Office of Medicare Hearings and Appeals

  • Significant reforms to the Medicare appeals process, including recent HHS rulemaking aimed at reducing the backlog of pending appeals and encouraging resolution of cases earlier in the appeals process
  • Key OMHA initiatives taking place at the ALJ appeal level, including the new Statistical Sampling Initiative, implementation of attorney adjudicators, and expansions to the Settlement Conference Facilitation program
  • Understand the impact these reforms and OMHA initiatives will have on providers, and learn strategic approaches and practical tips to consider and implement when appealing overpayment demands and claim denials through the Medicare appeals process

Presentation & handouts

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