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HHS reduces Medicare appeals backlog by 19.4%

According to new court documents, the Department of Health and Human Services has reduced the Medicare appeals backlog by 19.4%.

The American Hospital Association and its plaintiff hospitals had filed suit to require HHS to take affirmative steps to reduce the existing backlog. On Nov. 1, 2018, the United States District Court for the District of Columbia ordered HHS to reduce the existing backlog of Medicare appeals by 19% by the end of FFY 2019.

From Nov. 2018 through the end of the second quarter of 2019, HHS reported a net reduction of 82,936 appeals pending at the Office of Medicare Hearings and Appeals, bringing the total number of appeals to 343,658. This puts HHS ahead of schedule. HHS is required to meet a reduction of 49% by end of FFY 2020, 75% by the end of FFY 2021 and elimination of the Medicare appeals backlog by the end of FFY 2022. Contact: Melanie Graham

Published July 26, 2019