CMS Contractors are Turning Up the Heat – Providers Around the Country are Having to Defend Favorable Decisions by an Administrative Law Judge

(September 1, 2010): Introduction: As previously discussed, after representing health care providers for many years in administrative hearings, involving well over 10,000 Medicare claims this year alone, it has been our experience that Administrative Law Judges (ALJs) remain a provider's single best opportunity to present its legal, regulatory and factual arguments in support of payment. […]

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