tci Medicare Compliance & Reimbursement - 2019 Issue Q3

Industry Note: CMS Uploads New IRF Appeals Program

Last summer, the Centers for Medicare and Medicaid Services (CMS) commenced a short-term voluntary initiative for Medicare Parts A and B providers to cut down on its appeals junket. Now, the agency is offering a similar program that targets Inpatient Rehabilitation Facility (IRF) appeals. Details: On June 17, CMS began accepting “Expressions of Interest (EOIs) for a settlement option” from IRF appellants with outstanding appeals with their Medicare Administrative Contractors (MACs), “the Qualified Independent Contractor (QIC), the Office of Medicare Hearings and Appeals (OMHA) and/or Medicare Appeals Council (Council) levels of review,” relates a brief on...

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