George B. Breen, Member of the Firm in the Health Care & Life Sciences and Litigation practices and Chair of the firm’s National Health Care & Life Sciences Practice Steering Committee, in the firm’s Washington, DC, office, was quoted in Modern Healthcare, in “Medicare Appeals Board Drops Under-the-Radar Rule Changes” by Tara Bannow.

Following is an excerpt:

Hospitals can appeal certain Medicare payment decisions to an independent board, but with all the landmines involved, it’s kind of like playing the board game Operation. …

Attorneys familiar with the new rules say they’re being released in conjunction with the board’s shift to using an electronic filing system like that of the federal courts. It’s a shift many agree will make the filing process easier for all parties. Currently, parties can submit to the board both electronically and using paper mail while kinks in the e-filing system are worked out, but Swayne said eventually that will all be done electronically. The CMS, which declined to comment for this article, has released a manual to help providers transition to the electronic filing process. …

Hospitals used to file final position statements at the end of an appeal, but those are now optional, said George Breen, who chairs Epstein Becker Green’s national healthcare and life sciences practice steering committee.

“I think there is the reflection of the notion of putting the issues up front and before the board much earlier on in the process,” Breen said. “I think that is a significant change.” …

The goal behind moving to an electronic filing system is to make the board’s appeal process more efficient, Breen said. Whether that ultimately reduces the backlog of cases waiting to be heard remains to be seen.

“It’s a question of the board being able to rule on these issues and it’s a question of manpower and the parties actually getting before the board and having appeals heard or ruled on,” Breen said. “That issue of manpower, having sufficient resources, isn’t really impacted by the changes.”

Jump to Page

Privacy Preference Center

When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. This information might be about you, your preferences or your device and is mostly used to make the site work as you expect it to. The information does not usually directly identify you, but it can give you a more personalized web experience. Because we respect your right to privacy, you can choose not to allow some types of cookies. Click on the different category headings to find out more and change our default settings. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer.

Strictly Necessary Cookies

These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms. You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information.

Performance Cookies

These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. They help us to know which pages are the most and least popular and see how visitors move around the site. All information these cookies collect is aggregated and therefore anonymous. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.