Administrative Law Judge

I recently won a case against state surveyors and I learned something new… again.  The surveyors were adamant that the facility neglected a resident, and cited violations of policies, and criticized...

Many long-time McKnight’s readers will remember Beechwood Restorative Care Center and its $25 million victory against the state of New York. The settlement ended a 13-year war and one of the most egregious...

For recovery auditing professionals everywhere, performance-based payments are a financial best practice and the industry standard. The client wins when no upfront expenses occur and payments are made...

The Department of Health and Human Services may not have had the authority to offer providers special settlements to help clear a huge backlog of Medicare appeals, a leading Congressman said in a recent...

There is no easy fix to the staggering backlog of Medicare appeals, a government official said during a July 10 Congressional hearing.

I thought the Recovery Audit Contractors (RACs) were on hold. Why did we still get a request for records?

Providers will get a close look at and understanding of how they can challenge survey findings before an administrative law judge at a McKnight’s webinar. “So you want your day in court: Lessons...

Providers who want to have an administrative law judge consider a Medicare claim appeal can save their breath and memos for now.

Long-term care advocates anxious about the stalled Medicare claim appeals process were not soothed after a forum with government officials Wednesday. Last month, providers learned that new appeals to administrative...

A nursing home appealing a Medicare and Medicaid termination must meet numerous criteria to qualify for a stay of the termination, even if the facility will likely close before the appeal is decided, a...