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Category: Appeals

08 Nov

CMS and OMHA Broaden Appeal Settlement Options

On November 3rd, the Centers for Medicare and Medicaid Services announced on their website: “…CMS will make available an additional settlement option for providers and suppliers (appellants) with appeals pending at the Office of Medicare Hearings and Appeals (OMHA) and the Medicare Appeals Council (the Council) at the Departmental Appeals Board.” The additional settlement option […]

23 Feb

New Rules for Governing Medicare Appeals Released by CMS

  The Center for Medicare Advocacy recently released an article detailing meaningful changes in a new final rule issued by the Centers for Medicare & Medicaid Services (CMS). The article shares a number of concerns with the new regulations which apply particularly to the Administrative Law Judge (ALJ) level of review. “The new regulations stated […]