In this Home Medical Equipment News article, Steve Azia, Lance Leggitt and Jennifer Summa discuss the Medicare Appeals Due Process Coalition they are leading and its focus on working on behalf of HME providers to reform the appeals process for audited and denied claims.
"There has become a feeding frenzy in terms of audits and denials, and it has jammed the system," said Mr. Leggitt. "CMS is letting the appeals system determine what’s a valid claim and what’s fraud, and because a small percentage is fraud, it’s not the most efficient way of doing it. The process needs to be more qualitative."
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