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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 <[E-mail Address Removed]> 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 *
>
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