Medicare: Concerns Regarding Plans to Transfer the Appeals Workload from SSA to HHS Remain

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DIANE Publishing, Nov 1, 2005 - 68 pages
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Two fed. agencies -- the Dept. of Health & Human Services (HHS) & the Social Security Admin. (SSA) -- play a role in resolving Medicare appeals, but neither agency manages the entire process. In Dec. 2000, an Act mandated appeals reform, including stricter time frames for processing Medicare appeals. Another Act in 2003 mandated that SSA transfer its Medicare appeals workload to HHS in 2005 to consolidate Medicare appeals within a single federal agency. This report: (1) assesses the agencies' progress in preparing to implement the transfer; & (2) determines how HHS spent funds appropriated for transferring the appeals workload from SSA to HHS & related activities in FY 2004 & the first half of FY 2005. Charts & tables.
 

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Page 6 - Labor and other interested parties. We will also make copies available to others upon request. In addition, the report will be available at no charge on GAO's Web site at http://www.gao.gov. If you or your staff have any questions about this report, please contact me at (202) 512-7215 or robertsonr@gao.gov.
Page 61 - Director, Health Care US Government Accountability Office Washington, DC 20548 Dear Ms. Aronovitz: Enclosed are the Department's comments on the US Government Accountability Office's (GAO's) draft report entitled, "MEDICARE CONTRACTING REFORM: CMS's Plan Has Gaps and Its Anticipated Savings Are Uncertain
Page 3 - Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (BBRA) and the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000...
Page 3 - At the federal level, the Centers for Medicare & Medicaid Services (CMS), an agency within the Department of Health and Human Services (HHS), is responsible for supporting and overseeing state fraud, waste, and abuse control activities.
Page 62 - The Department of Health and Human Services (HHS) appreciates the opportunity to review and comment on the US Government Accountability Office's (GAO) draft report entitled, "DISASTER PREPAREDNESS: Limitations in Federal Evacuation Assistance for Health Facilities Should be Addressed" (GAO-06-826), before its publication.
Page 62 - December 8, 2003, as part of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA).
Page 57 - CBO determined that the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA...
Page 57 - Thank you for the opportunity to review and comment on the draft Government Accountability Office (GAO) Report, GAO-05-869, "Livestock Grazing: Federal Fees Vary Widely, Depending on the Purpose and Approach for Setting the Fees.
Page 3 - Commission by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA...
Page 58 - Congress made additional changes to the appeals process in 2003, including authorizing the transfer of administrative law judges (ALJs) from the Social Security Administration (SSA) to the Department of Health and Human Services (HHS), and negating some of the earlier time savings by extending the time in which contractors must complete their decisions.

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