To air in favor of saying okay we are going to this with you. At some point i wonder whether we have diminishing returns here. Thats more of a provocative question rhetorical question at this point. But i do think that constructs probably should urge us to think about whether its the way we should be doing these appeals. I would like to clarify one thing. He said the percentages you are looking at are on their recovery audit appeals. And the reversal rates on those appeals have been higher than the general reversal rate for the agency which as you know includes all appeals. So for 2014 and again the numbers i have are fully favorable decisions, that it was just 19. 3 . The numbers have been im sorry, that was fully favorable. I keep going to that number. I will get you a number on the reversal. Everything ive been told is that when cms is actually present at these hearings, that decisions are not made but the cms representative is oftentimes not present. So that suggests to me again th
Interrupt us. Since were voting about 9 00 is our next vote series, if were still meeting in our hearing at that time, this will be not a good sign. [laughter] so we dont anticipate that as well, but i do apologize. The 30minute delay ended up being about an hour and 20 before it was all said and dope. We will go back and forth here to be able to process through questions. Im okay if we just start opening up questions. Ms. Duck worth, is that all right with you . So well kind of turn clocks off. I have no particular order on that, that way if you want to be able to interrupt during the question time, youre able to get a followup question to anything made. That changes our format some, it wont change yours. We typically do a very structured five minute time during our first round, our second round is a more open process where any member can ask a question at any time. Just so if you make a statement, the member that asked you the question is not limit today the one that does the follow
Talk us through how that happens. Because this is a very high number here. As many are remanded as are found favorable, partially favorable and unfavorable combined. Yes. And in these cases many of the judges decided to remand them. You know, theyre basically questions about whether or not claims would be paid as inpatient claims you should part a or whether they would be paid as outpatient claims under part b. That was the basic issue. And so in order to get many of the judges felt they needed Additional Information in order to make that decision, and they sent these claims back to the lower level to get that information. What has happened as a result of cms rulemaking and these cases are actually going to be coming back to us, and i think they have come back to us. Okay. So theyre remanded. You got the additional detail, its now coming back to you. How did that come up here on our statistics . What were trying to evaluate is whats really happening in these cases. Its hard to be able
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