End of the Road for the ALJs?

Monitor Mondays

Could the end be near for the administrative law judges of the Centers for Medicare & Medicaid Service (CMS). What about the Office of Medicare Hearings and Appeals (OMHA)? Could these entities be gone from the audit landscape?

Case in point: the Supreme Court (SCOTUS) continues eviscerating executive powers. This time SCOTUS has limited the authority of administrative tribunals and the administrative law judges to adjudicate some cases—this according to a recent SCOTUS decision.

While the actual case relates to administrative hearings at the Securities and Exchange Commission (SEC), the limitations likely transcend that agency.

During the next live edition of Monitor Monday, physician and attorney, Dr John K Hall, will discuss the potential impacts of the decision and what impact it might have on Office of Medicare Hearings and Appeals (OMHA) and the Centers for Medicare & Medicaid Services (CMS) administrative law judges.

Other broadcast segments will also include these instantly recognizable features:

• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.

• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.

• Legislative Update: Cate Brantley, a senior government affairs liaison for Zelis, will report on current healthcare legislation.

• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.

Chapter

1. End of the Road for the ALJs? (00:00:00)

2. Ronald Hirsch, MD (00:01:06)

3. Knicole Emanuel, Esq (00:05:30)

4. RACmontior Commercial (00:10:32)

5. David Glaser, Esq (00:11:20)

6. Cate Brantley, JD (00:16:09)

7. RACmontior Commercial (00:20:23)

8. John K. Hall, MD (00:21:19)

9. Q&A With David Glaser (00:25:07)

10. Closing (00:29:26)