Friday, January 27, 2012

New Information on the Appeals Process for Medicare and Medicaid EHR Incentive Programs on the EHR Website

CMS has added new information to the Attestation section of the EHR website about the appeals process for the Medicare and Medicaid Electronic Health Records (HER) Incentive Programs.
On Thu Dec 1, 2011, CMS began accepting appeals for eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs). To help EPs, eligible hospitals, and CAHs, the CMS Office of Clinical Standards and Quality (OCSQ) is providing guidance on how to file an appeal. Note that the filing deadline for an eligibility appeal for an eligible hospital has been extended from Fri Dec 30, 2011, to Mon Jan 30, 2012.

OCSQ’s Division of Health Information Technology released the first informal review decision for the EHR Incentive Program on Mon Jan 19. Beginning in February, this informal review decision and other appeal decisions will be posted on the OCSQ Appeals website. Starting in March, providers may find their decisions by visiting the Appeals Portal.

For general questions and for information on how to file an appeal, EPs, eligible hospitals, CAHs, and Medicare Advantage Organizations may contact OCSQ’s designated appeal support contractor, Provider Resources Inc, at:

Toll-free number: 855-796-1515 (Between 9am and 5pm ET, Monday through Friday), or  Email: OCSQappeals@provider-resources.com