Breaking News
As Hospital Peer Review went to press, the Centers for Medicare & Medicaid Services (CMS) announced that it is "offering an administrative agreement to any hospital willing to withdraw their pending appeals in exchange for timely partial payment (68% of the net allowable amount). CMS encourages hospitals with inpatient status claims currently in the appeals process or within the timeframe to request an appeal to make use of this administrative agreement mechanism to alleviate the administrative burden of current appeals on both the hospital and Medicare system."
According to CMS, the following organizations can apply for a settlement request: Acute Care Hospitals, including those paid via Prospective Payment System, Periodic Interim Payments, and Maryland waiver; and Critical Access Hospitals.
Children’s hospitals, cancer facilities, long-term care hospitals, psychiatric hospitals paid under the inpatient psychiatric facilities prospective payment system, and inpatient rehabilitation facilities may not participate.
Hospital Peer Review will have more on this breaking news in the November issue.
