FRIDAY August 26, 2016:
“Proposed Changes to the
Medicare Appeals Process”
Maybe… maybe not?
Sponsored by The Health Law Partners, MAS Coding Solutions
THIS WEEK, we go over the most recent wrinkles and prevarications offered by the Office of Medicare Hearings and Appeals (OMHA) and CMS, about “the Administrations efforts to address the unprecedented and sustained increase in the number of appeals and to eliminate the backlog of appeals currently pending at the Office of Medicare Hearings and Appeals (OMHA) and the Departmental Appeals Board (DAB).”
Joining us again with a complete presentation on what CMS has now proposed is our resident expert on Medicare appeals, Jessica Gustafson, a co-founding partner at The Health Law Partners. She practices in all areas of healthcare law, and devotes a substantial portion of her practice to representing hospitals and other healthcare providers and suppliers in compliance and reimbursement matters, in particular in the Recovery Audit Contractor (“RAC”) and Medicare audit appeals process. If you’ve not heard Jessica before, you’re in for an education!
So, we will be discussing the following changes being proposed by CMS:
- The Role of OMHA Attorney “Adjudicators”
- New Limitations on Contractor Participation at Hearings
- The Use of Precedential Council Decisions
So join us, share your own insights and bring your questions for us!
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SLIDES Jessica Gustafson on The Proposed Rule: Changes to Medicare Appeals Procedures 92.51 KB 61 downloads...
Proposed Changes to the Medicare Appeals Procedures [HHS–2015–49] 716.04 KB 47 downloads...
Visit the archive for the show to get the original handouts