Here are three things to know.
1. CMS announced the new low-volume appeals settlement option in November 2017, and the agency launched the first round of the new initiative on Monday.
2. The low-volume appeals settlement option is limited to those with fewer than 500 Medicare Part A or Part B claim appeals pending with the Office of Medicare Hearings and Appeals and the Medicare Appeals Council as of Nov. 3, 2017, with a total billed amount of $9,000 or less per appeal. CMS will settle eligible appeals at 62 percent of the net allowed amount.
3. CMS launched the new settlement option to clear the significant backlog of Medicare appeals that has resulted in a nearly three-year adjudication process for each Medicare claim that is denied.
More articles on healthcare finance:
JPMorgan to healthcare executives: New venture with Amazon, Berkshire isn’t a threat
Fitch: Medicaid work requirements put pressure on LifePoint, Quorum and CHS
CHI sees operating loss shrink as turnaround efforts take hold
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit
