As previously reported, CMS has initiated a "low volume appeals (LVA) settlement" option as part of broader HHS efforts to improve the Medicare appeals process. This option is available for appellants with fewer than 500 total Medicare Part A or Part B claim appeals pending at the Office of Medicare Hearings and Appeals and the Medicare Appeals Council at the Departmental Appeals Board as of November 3, 2017 with a total billed amount of $9,000 or less per appeal, subject to other conditions. Eligible appeals will be settled at 62% of the net allowed amount.
CMS is hosting a call on February 13, 2018 to discuss the status of the LVA process and explain how to identify claims that are eligible for settlement. A question and answer session will follow the presentation. Registration is required to participate in the call.
This article is presented for informational purposes only and is not intended to constitute legal advice.
