Posted on Monday, January 8, 2018 1:44 PM
CMS is making available an additional settlement option for providers and suppliers with appeals pending at Office of Medicare Hearings and Appeals (OHMA) and the Medicare Appeal Council at the Department Appeals Board.
“The low volume appeals settlement option (LVA) will be limited to appellants with a low volume of appeals pending at OMHA and the Council. Specifically, appellants with fewer than 500 Medicare Part A or Part B claim appeals pending at OMHA and the Council, combined, as of November 3, 2017, with a total billed amount of $9,000 or less per appeal could potentially be eligible, if certain other conditions are met. CMS will settle eligible appeals at 62% of the net allowed amount.”
CMS is hosting a Medicare Learning Network event on Tuesday, January 9, 2018 from 1:30-2:30 pm that will explain the logistics of the settlement process. There will be no Q&A, but questions can be submitted in advance to MedicareSettlementFAQs@cms.hhs.gov and include Low Volume Appeal Settlement Process January NPC in the subject line.
Source: NAHC Report 1/05/2018
About Corridor
Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!
For additional information, please contact Corridor at 1-866-263-3795.
