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Tag: settlement conference


Settlement update: A non-option option for appeals

December 8, 2017Liz Beaulieu, Editor

WASHINGTON - CMS has rolled out a new settlement option for low-volume appeals, but it's not likely HME providers will take the agency up on its offer, stakeholders say.Providerswith fewer than 500 appeals pending at the Office of Medicare Hearings and Appeals and the Medicare Appeals Council combined as of Nov. 3, 2017 with a total billed amount of $9,000 or less per appeal could be eligible, if certain other conditions are met.The kicker: CMS will settle eligible appeals at 62% of the net allowed...

ALJ Appeals, Andrea Stark, Ross Burris, settlement conference, Wayne van Halem

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Settlement process still long shot for many providers

November 13, 2015Theresa Flaherty, Managing Editor

WASHINGTON - The Office of Medicare Hearings and Appeals has made the settlement process slightly easier, but challenges remain, says AAHomecare's Kim Brummett.The biggest change OMHA has made: Providers can include appeals filed at the Administrative Law Judge level through Sept. 30, 2015. Previously, it was limited to appeals filed in 2013.“That's a much better deal,” said Brummett, senior director of regulatory affairs for AAHomecare. “Providers can settle on a much larger volume...

Office of Medicare Hearings and Appeals, settlement conference

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