Anesthesia Experts

Class-action lawsuit filed over slow Medicare appeals process

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The Center for Medicare Advocacy has filed a lawsuit on behalf of five Medicare beneficiaries who allegedly had to wait longer than the 90-day statutory limit to resolve appeals over Medicare claims denials

The proposed nationwide class-action lawsuit was filed in U.S. District Court in Connecticut against the Obama Administration. Under the Medicare Act, appeals are required to be heard by an Administrative Law Judge within 90 days after a request for a hearing. According to CMA, the current average wait time for a decision is 489 days.

This is not the first lawsuit to be filed concerning the appeals backlog. In May, a lawsuit was filed in an attempt to compel HHS to meet the statutory deadlines for ALJ review of Medicare claims denials. The lawsuit was filed by four organizations: the American Hospital Association; Mountain Home, Ark.-based Baxter Regional Medical Center; Knoxville, Tenn.-based Covenant Health; and Rutland (Vt.)Regional Medical Center.

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“As Director of Surgical Services Departments there has been considerable changes have occurred in my department and Anesthesia Experts has always risen to meet our demands of our facility. They have been very pro-active in meeting the increase volumes allowing us to keep our surgeons and patients very satisfied with our services.”

AR BSN 346 beds AL   

“Before AE took over the anesthesia department was described by the surgeons as the worst in the history of our hospital. The prior management company was having a cancelled surgery per day. I am happy to report there has not been one since they have taken over the department. Additionally we have seen a 905 reduction if requested preop
lab tests. The anesthesia department is now the very best hospital department in our entire facility.”

DS CEO 272 beds MS   

“Anesthesia Experts has provided consistent anesthesia providers who display a high degree of integrity, responsibility and professionalism. They have become a more valuable part of our facility and community.”

LR CEO 150 beds TX   

“Even though they are physically located 1000 miles away Anesthesia Experts just does not provide great anesthesia coverage they personally engage surgeons to increase their business. Last year my surgical volume rose by 24% and we are currently 50% ahead of last year and all of that growth is organic.”

JE FACHE CEO AL 92 bed hospital   

“Anesthesia Experts is more responsive than anyone I have dealt with. They are available by phone whenever needed and will be on site for any need or request and has been on site to address issues before we can make the request.”

SW CEO 25 beds NM   

“While problems are extremely rare when they do occur Anesthesia Experts quickly and professionally implements a solution. Our surgical volume has grown over 100 cases per month and now our GI docs want to perform all of their endoscopies in our hospital instead of their GI lab that they own!”

SP CEO 346 beds AL   

“Our anesthesia department was a thorn in my side that kept me awake at night. Anesthesia Experts swept in and brought order to our mess and our department was quickly redirected.”

JAM CNO AL 89 bed hospital   

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