ALJ and MAC Hearings and Appeals http://www.aljappeal.com Call 1 (800) 475-1906 for a free consultation today Fri, 28 Oct 2011 18:06:09 +0000 http://backend.userland.com/rss092 en Lose Your Medicare Appeal at Reconsideration? Don’t Throw in the Towel Just Yet — Consider the Consequences and Your Options. http://www.aljappeal.com/2011/06/lose-your-medicare-appeal-at-reconsideration-don%e2%80%99t-throw-in-the-towel-consider-the-consequences-and-your-options/ Are Medicare ALJ’s Truly Independent Fact Finders, Free From the Informal Pressures of CMS and its ZPIC / PSC / RAC / QIC Contractors? http://www.aljappeal.com/2011/02/are-medicare-alj%e2%80%99s-truly-independent-fact-finders-free-from-the-informal-pressures-of-cms/ Be Prepared — ZPIC, PSC and QIC Representatives Are Increasing their Participation in Appeal Hearings, Personally Presenting Their Rationale for Denying Your Medicare Claims to the ALJ. http://www.aljappeal.com/2011/02/be-prepared-zpic-psc-and-qic-representatives-are-increasingly-participating-in-alj-hearings-personally-sharing-their-reasons-for-denying-medicare-claims-with-the-court/ Keeping an Eye on Medicare’s AdQIC: http://www.aljappeal.com/2010/12/keeping-an-eye-on-medicare%e2%80%99s-adqic/ Recoupment, Extended Repayment and Appeal Strategies in “Big-Box” Cases — How Your Decisions at Earlier Levels of Appeal can Adversely Affect Your Case at the ALJ Level of Appeal http://www.aljappeal.com/2010/12/recoupment-extended-repayment-and-appeal-strategies-in-big-box-cases-how-your-decisions-at-earlier-levels-of-appeal-can-adversely-affect-your-case-at-the-alj-level-of-appeal/ CMS Contractors are Turning Up the Heat – Providers Around the Country are Having to Defend Favorable Decisions by an Administrative Law Judge http://www.aljappeal.com/2010/09/cms-contractors-are-turning-up-the-heat-%e2%80%93-providers-around-the-country-are-having-to-defend-favorable-decisions-by-an-administrative-law-judge/ Health Data Insights Begins Medical Necessity Reviews http://www.aljappeal.com/2010/08/health-data-insights-begins-medical-necessity-reviews/ Look at RACs — Part III: What Should Physicians and other Medicare Providers Know about Appeals and Recoupment? http://www.aljappeal.com/2010/07/look-at-racs-part-iii-what-should-physicians-and-other-medicare-providers-know-about-appeals-and-recoupment/ A Look at RACs — Part II: How Should Physicians and Other Providers Respond to a RAC Audit? http://www.aljappeal.com/2010/06/a-look-at-racs-part-ii-how-should-physicians-and-other-providers-respond-to-a-rac-audit/ A Look at RACs — Part I: What Do Physicians, Home Health, Hospice, and DME Providers Need to Know? http://www.aljappeal.com/2010/06/a-look-at-racs-part-i-what-do-physicians-home-health-hospice-and-dme-providers-need-to-know/