The Centers for Medicare and Medicaid Services held a national call today to provide details on how providers can participate in the low volume appeals settlement option.
Beginning Feb. 5, CMS will start accepting Expressions of Interest for a limited settlement agreement option for Medicare fee-for-service providers, physicians and suppliers with fewer than 500 appeals pending at the Office of Medicare Hearing and Appeals (OMHA) and the Medicare Appeals Council at the Departmental Appeals Board.
Specifically, CMS will make available an administrative settlement process for appellants with fewer than 500 appeals pending at OMHA and the Council, combined, as of Nov. 3, 2017, to settle the portion of their pending appeals that have total billed amounts of $9,000 or less per appeal. The settlement of the low volume appeals will be in exchange for timely partial payment of 62 percent of the net Medicare approved amount.
To begin the process, appellants must complete and submit an Expression of Interest, which can be found on the Medicare Appeals and Grievances website.