CMS offers appeals settlement

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Thursday, November 9, 2017

WASHINGTON – CMS recently announced a low volume appeals settlement for Part A and Part B appeals at the Office of Medicare Hearings and Appeal and the Medical appeals Council. The option is limited to appellants with less than 500 appeals and each individual appeal must total $9,000 or less. The settlement is for 62% of the allowed amount minus the copay, according to a bulletin from AAHomecare. As of August 2017, OMHA had 591,962 total appeals pending—an increase of 300% since 2016. The number of DMEPOS appeals as of Oct. 12 is 291,047.