serious concerns remain. Unless policy and process improvements are introduced
soon, the appeals process will become even more dysfunctional.
needs to be fewer inaccurate Medicare contractor audits -- which are increasing
appeals significantly -- or additional resources provided to OMHA. If not, the
backlog could cause disruptions to beneficiary access to health care,
especially to nursing and therapy services.
applauds OMHA for this effort and will make every attempt to work with HHS on
this process, and to find solutions that work for the provider, agencies, and
most importantly, the recipients of the care we deliver. Something must
change to permit timely and appropriate initial claim processing and early
The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) represent more than 12,000 non-profit and proprietary skilled nursing centers, assisted living communities, sub-acute centers and homes for individuals with intellectual and developmental disabilities. By delivering solutions for quality care, AHCA/NCAL aims to improve the lives of the millions of frail, elderly and individuals with disabilities who receive long term or post-acute care in our member facilities each day. For more information, please visit www.ahca.org or www.ncal.org.