Medicare News
CMS MLN Connects™ Provider eNews Special Edition for August 29, 2014
CMS Offers Settlement to Acute Care Hospitals and CAHs to Resolve Appeals of Patient Status Denials
MLN Connects™ National Provider Call: Tuesday, September 9; 1-2pm ET
To more quickly reduce the volume of patient status claim denials pending in the appeals process, CMS is offering an administrative agreement to any acute care hospital or critical access hospital (CAH) willing to resolve their pending appeals (or waive their right to request an appeal) in exchange for timely partial payment (68% of the net payable amount). CMS encourages hospitals with patient status claim denials currently in the appeals process to make use of this administrative agreement to alleviate the burden of current appeals on both the hospital and Medicare system.
More details about the providers and claims eligible for an administrative agreement, as well as the documents needed to request such an agreement, can be found on the CMS Inpatient Hospital Reviews web page.
Details:
- Attend the MLN Connects Call. Registration opening soon at MLN Connects™ Upcoming Calls.
- The administrative agreement covers admissions prior to October 1, 2013
- Administrative agreement requests are due to CMS by October 31, 2014
Email any questions to MedicareSettlementFAQs@cms.hhs.gov. These questions will be answered on the MLN Connects Call and will be used to create frequently asked questions and answers that will be posted to the Inpatient Hospital Reviews web page. Watch future editions of the eNews for additional updates on this topic.
Symposium Registration Now Open!
Join us for our upcoming symposium in Baton Rouge, LA on Wednesday, September 10! This event will be held at the Belle of Baton Rouge Hotel.
Time is slipping away to register and attend our free 2014 Medicare Symposiums with the Provider Outreach and Education team. We offer a wide variety of class topics including Evaluation and Management Services, Two-Midnight Rule, claim form overviews, and Medicare basics. Don’t miss this golden opportunity to get the latest updates and changes to the Medicare program brought to you live and in-person.
Not sure how to register? Watch our Symposium Registration Tutorial video for a step-by-step guide on how to successfully register for the events you wish to attend.
Registration is also open for the following events:
A new release of the Short-Term (ST) Acute Care Program for Evaluating Payment Patterns Electronic Report (PEPPER), with statistics through the second quarter of fiscal year 2014, is available for short-term acute care hospitals nationwide.
