Medicare Appeals Settlement Program Expands

The Office of Medicare Hearings and Appeals (OMHA) announced, during a Medicare Learning Network webcast on May 22, their plans to revise the criteria for the Settlement Conference Facilitation (SCF) program. SCF is an alternative dispute resolution process that gives certain providers and suppliers an opportunity to resolve their eligible Part A and Part B…

Low Volume Appeals Initiative Extended into June

The Centers for Medicare & Medicaid Services (CMS) is extending the deadline for appellants to submit an expression of interest (EOI) for the Low Volume Appeals (LVA) Initiative to June 8, 2018. ¬†Appellants with either an odd or an even NPI, which meet the eligibility criteria, should submit an EOI between April 12, 2018 and…

CMS Hosting Low Volume Appeals Settlement Call Jan. 9

As part of the broader Department of Health & Human Services commitment to improving the Medicare appeals process, the Centers for Medicare & Medicaid Services (CMS) is making available an additional settlement option for providers and suppliers (appellants) with appeals pending at the Office of Medicare Hearings and Appeals (OMHA) and the Medicare Appeals Council…