Court Rules for AHA in Medicare Appeals Backlog Case / by Joe Furia

Ann-Marie Alameddin, Vice President of Strategy and General Counsel

Last week a federal court ruled in favor of the AHA and its member hospital plaintiffs, and reinstated a mandamus order establishing annual deadline-based targets for reducing the backlog of Medicare appeals at the Administrative Law Judge level. This order requires that the Department of Health and Human Services achieve the following reductions from its own currently projected fiscal year 2018 backlog of 426,594 appeals: a 19 percent reduction by the end of FY 2019; a 49 percent reduction by the end of FY 2020; a 75 percent reduction by the end of FY 2021; and elimination of the backlog by the end of FY 2022.