LTC providers will be able to appeal Medicare claims without ALJ
MDS 3.0 Insider, July 10, 2014
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Settlement Conference Facilitation is an alternate dispute resolution process that would bring providers and CMS representatives together to negotiate and settle Medicare disputes with the help of a third party. This settlement conference facilitator would be an employee of the Office of Medicare Hearings and Appeals, which is a separate agency from CMS, according to a fact sheet on the pilot program.
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