Revenue Cycle

In the news: SSA seeks input on increasing efficiency of ALJ hearings

Recovery Auditor Report, November 13, 2008

The Social Security Administration is seeking comments on a proposed rule that will attempt to increase the case load and efficiency of Administrative Law Judge hearings, according to the November 10 Federal Register.
 
The significant backlog of hearings affects hospitals and other providers currently waiting to appeal denials from the RAC demonstration project.
 
“The number of cases awaiting a hearing has reached historic proportions, and efforts toward greater efficiency are critical to addressing this problem,” according to the Federal Register.
 
The government may have underestimated the impact that RACs would have on a federal level, according to Tanja Twist, MBA/HCM, director of patient financial services at Methodist Hospital in Arcadia, CA. “I’m not sure how a system that was bogged down by a demonstration with three states and three auditors is going to handle 50 states with only four auditors,” she says.

The comment period ends January 9, 2009. Click here to comment on the proposed rule.

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