Long-Term Care

CMS offers deal to hospitals to reduce backlog of appeals

MDS 3.0 Insider, September 4, 2014

Want to receive articles like this one in your inbox? Subscribe to MDS 3.0 Insider!

 

In an effort to reduce the backlog of Medicare claims appeals that has hindered long-term care and other providers, CMS is offering a new way to settle some cases. Hospitals could receive a partial payment if they withdraw appeals related to inpatient status, the Centers for Medicare & Medicaid Services announced Friday.
Many pending appeals stem from auditors' determinations that beneficiaries were designated as hospital inpatients when they should have been outpatients. To more quickly reduce the volume of inpatient status claims, CMS is now offering an administrative agreement mechanism. Hospitals that enter into such an agreement would receive 68% of the amount in dispute, the agency's memo stated.
 
 To continue reading, visit our blog MDSCentral.



Want to receive articles like this one in your inbox? Subscribe to MDS 3.0 Insider!

Most Popular