ALJ Hearings Remain a Good Appeals Option, OIG Report Notwithstanding

December 10, 2012 – In The News
Medical Practice Compliance Alert

William H. Maruca discussed the OIG's recent report that may mean CMS and its contractors are likely to participate more actively in administrative law judge (ALJ) hearings in an attempt to uphold denials.

Maruca said: "I don't believe the OIG's report will significantly change documentation requirements other than limiting the ability to introduce new evidence at the ALJ level that was not submitted before."