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Medicare wades through backlog of disputed claims

Medicare has suspended assigning new payment-dispute claims to administrative judges who are attempting to work through a backlog of 357,000 cases.Medicare also has halted third-party audits of payment claims. These audits returned more than $7 billion to Medicare since 2010, according to one group’s estimate. The federal government caps at $3,700 the amount any patient can get in benefits for physical, speech or occupational therapy. Medicare will pay for “reasonable and necessary” services beyond $3,700, but those claims are subject to review…Read More


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