Thousands tied up pending an ALJ Hearing?

Thousands tied up pending an ALJ Hearing?

Get ready to do your happy dance! The Center for Medicare Advocacy has good news!

We just got word of the results of the class action suit Exley v Burwell. Go check it out on the Center for Medicare Advocacy's website.

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“While the Office of Medicare Hearings and Appeals (OMHA) has been overwhelmed by requests for hearings in recent years, it has recognized that beneficiaries are the most vulnerable of appellants.” Meanwhile the vast majority of appellants are medical providers. So it doesn’t seem to me to be much of a problem to place these beneficiaries ahead of the rest.

Dusty Dunn

Hmmm. You’ve got a good point, Liz. It’s a mess still, isn’t it?


Not good news for providers – it is beneficiary appeals that will receive priority. Understand their need – but I have providers forced to pay huge sums on extended repayment agreements while waiting 2-3 years since a QIC decision for an ALJ Hearing. Now they will be put back behind the beneficiaries.

Liz Pearson

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