Re: ALJ Hearing Date TImeframe
Melissa A. Bolton, Admin. Dept.
Description
Collection
Title:
Re: ALJ Hearing Date TImeframe
Creator:
Melissa A. Bolton, Admin. Dept.
Date:
4/7/2015
Text:
Well, Legally they have 90 days from the date they receive it for the appeal to
be assigned to a judge and for the judge to issue a decision, but they aren't
abiding by the law and they are getting away with it. It's running between 2.5
to 3 years at this point before you will get a decision. After 90 days you can
escalate it to the Medicare Appeals Council, but you will lose out on the only
chance you have to have a verbal conversation/argument for getting paid if you
move it out of ALJ.
Melissa Bolton
Funding Assistant
Real Life Prosthetics
> On April 2, 2015 at 2:45 PM Jessica Longoria < <Email Address Redacted> > wrote:
>
>
> Is anyone aware if there are rules the ALJ must follow in regards to
> timeframes for scheduling an ALJ hearing date? I have an audit sitting on
> my desk since 2011.
> Date of Service: 06-08-2010
>
> Request of ALJ Hearing Received by Judge on: 08-27-2012
>
> I sent a certified letter to the judge 11-21-2013 asking for an update on a
> hearing date. No response.
>
> I would like to get paid for services provided in 2010 but I can not seem
> to get a hearing date. Suggestions?
>
> Thank you for any help you may offer!
> *Jessica Falknor Longoria, CP, CMF*
> *Centers for Mobility/A Touch of Pink*
> *7777 Southwest Freeway 107*
> *Houston, TX 77074*
> *713-773-0969*
>
> *www.CentersForMobility.com < <URL Redacted>>*
>
>
be assigned to a judge and for the judge to issue a decision, but they aren't
abiding by the law and they are getting away with it. It's running between 2.5
to 3 years at this point before you will get a decision. After 90 days you can
escalate it to the Medicare Appeals Council, but you will lose out on the only
chance you have to have a verbal conversation/argument for getting paid if you
move it out of ALJ.
Melissa Bolton
Funding Assistant
Real Life Prosthetics
> On April 2, 2015 at 2:45 PM Jessica Longoria < <Email Address Redacted> > wrote:
>
>
> Is anyone aware if there are rules the ALJ must follow in regards to
> timeframes for scheduling an ALJ hearing date? I have an audit sitting on
> my desk since 2011.
> Date of Service: 06-08-2010
>
> Request of ALJ Hearing Received by Judge on: 08-27-2012
>
> I sent a certified letter to the judge 11-21-2013 asking for an update on a
> hearing date. No response.
>
> I would like to get paid for services provided in 2010 but I can not seem
> to get a hearing date. Suggestions?
>
> Thank you for any help you may offer!
> *Jessica Falknor Longoria, CP, CMF*
> *Centers for Mobility/A Touch of Pink*
> *7777 Southwest Freeway 107*
> *Houston, TX 77074*
> *713-773-0969*
>
> *www.CentersForMobility.com < <URL Redacted>>*
>
>
Citation
Melissa A. Bolton, Admin. Dept., “Re: ALJ Hearing Date TImeframe,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/237143.
