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GAO urges HHS to streamline Medicare appeals process

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The Government Accountability Office says the  U.S. Department of Health and Human Services  should do more to improve its oversight of the Medicare fee-for-service appeals process, with the aim of, among other things,  reducing the number of appeals.

“Without more reliable and consistent information, HHS will continue to lack the ability to identify issues and policies contributing to the appeals backlog, as well as measure the funds tied up in the appeals process,” the report concludes. “Finally, the manner in which appeals of certain repetitive claims are adjudicated is inefficient, which leads to more appeals in the system than necessary.”

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