Thatâs why understanding and complying with the statute of limitations is critical for any medical malpractice plaintiff. For a state-by-state breakdown of the statute of limitations in medical malpractice cases, click on the link below. by: David Goguen, J.D. 1  reply.
Administrative Law Judge (ALJ) Hearings. An ALJ hearing is a hearing conducted by an Administrative Law Judge. You can. appeal to the ALJ after youâve gotten a denial for either health care services or. drugs from the Independent Review Entity (IRE). The IRE is a company called. MAXIMUS Federal Services.
How To Request An ALJ Hearing. What you can do if you do not agree with our decision. If our decision is that we agree completely or partially with the health plan, you may have rights to a Hearing with an Administrative Law Judge (ALJ). This is called an ALJ Hearing. An ALJ Hearing is a meeting with you, the ALJ and the Health Plan so that you can talk about your appeal. It is usually held by telephone or video conference. You can have an ALJ Hearing if the amount of money at stake in your appeal satisfies the Amount in Controversy (AIC) requirement. Beginning January 1, 2015, the amount in controversy must be at least $150. To ask for an ALJ Hearing, fill out the ALJ Hearing Request form. You can send your signed form to us using any of these methods: Fax the signed form to: 585-425-5292. Scan and e-mail the signed form to: medicareappeal@maximus.com.