tci Medicare Compliance & Reimbursement - 2014 Issue 20

Reimbursement: Welcome New Quick Settlement Option from CMS

Only two groups of hospitals can apply for this option. The Centers for Medicare & Medicaid Services (CMS) has a new administrative agreement strategy to ease the procedural burden of current appeals on both acute care and critical access hospitals. Will these changes hasten the Medicare appeals system process and speed up reimbursement? Background: To swiftly reduce the volume of inpatient status claims currently pending in the appeals process, CMS is now offering an administrative agreement to any hospital ready to pull out the appeals it has submitted that are yet awaiting resolution. CMS in turn would provide timely...

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