Appealing a Payment Denial from Medicare
Dealing with healthcare insurance payors is an arduous and complicated task. But trying to get federal healthcare agencies like Medicare, Medicaid, or others to pay for valid services performed when they unilaterally deny these claims can seem nearly hopeless. But fear not! The federal government has put processes in place to challenge these denials. However, […]
Taking Your Reimbursement Claim to an Administrative Law Judge
An Administrative Law Judge (ALJ) hearing in healthcare is a formal proceeding where an ALJ reviews disputes between healthcare providers or beneficiaries and government agencies, primarily the Centers for Medicare & Medicaid Services (CMS) or other federal or state health programs. These hearings are an essential part of the process for resolving disputes related to […]