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CMS Hosting Low Volume Appeals Settlement Call Jan. 9

Posted on Monday, January 8, 2018 1:44 PM

CMS is making available an additional settlement option for providers and suppliers with appeals pending at Office of Medicare Hearings and Appeals (OHMA) and the Medicare Appeal Council at the Department Appeals Board. 

“The low volume appeals settlement option (LVA) will be limited to appellants with a low volume of appeals pending at OMHA and the Council. Specifically, appellants with fewer than 500 Medicare Part A or Part B claim appeals pending at OMHA and the Council, combined, as of November 3, 2017, with a total billed amount of $9,000 or less per appeal could potentially be eligible, if certain other conditions are met. CMS will settle eligible appeals at 62% of the net allowed amount.”

CMS is hosting a Medicare Learning Network event on Tuesday, January 9, 2018 from 1:30-2:30 pm that will explain the logistics of the settlement process.  There will be no Q&A, but questions can be submitted in advance to MedicareSettlementFAQs@cms.hhs.gov and include Low Volume Appeal Settlement Process January NPC in the subject line. 

Source: NAHC Report 1/05/2018

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