HealthCare Article: Overhaul of the Medicare Appeals Process: Are Providers and Suppliers Prepared?
5/6/2005
On March 1, 2005, CMS published a long-awaited interim final rule (the Rule) making sweeping changes to the process for appealing adverse actions related to Medicare fee-for-service claims. The Rule implements certain legislative provisions from the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000, as well as the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. These new regulations are particularly significant because they unify the appeal processes for Part A and Part B claims, to which different appeal procedures apply until the first significant stage of implementation begins on May 1, 2005.
This publication, written by Mintz Levin attorney Karen S. Lovitch for BNA's Medicare Report, Vol. 16, No. 552, 5/6/2005, discusses important aspects of the Rule.
