Addressing the Medicare Appeals Backlog
dc.contributor.author | Davis, Kelly L. | |
dc.date.accessioned | 2017-06-27T15:40:07Z | |
dc.date.available | 2017-06-27T15:40:07Z | |
dc.date.issued | 2017 | |
dc.description.abstract | When a Medicare provider is denied payment for a Medicare claim, the provider can appeal the decision to a five-level appeals system. However, the backlog of appeals at the third level of appeal is so large that statutory timeframes for decisions are not being met, and a federal judge has ordered the U.S. Department of Health and Human Services to clear the backlog by 2021. This capstone evaluates the issues causing and prolonging the backlog, offers a policy solution to address these issues, and analyzes the effectiveness, efficiency and administrative and political feasibility of the proposed solution. | en_US |
dc.identifier.uri | http://jhir.library.jhu.edu/handle/1774.2/40614 | |
dc.language.iso | en_US | en_US |
dc.subject | Medicare | en_US |
dc.subject | Medicare appeals | en_US |
dc.subject | appeals backlog | en_US |
dc.title | Addressing the Medicare Appeals Backlog | en_US |
dc.type | Other | en_US |