CMS to host Dec. 12 call on hospital appeals settlement offer

The Centers for Medicare & Medicaid Services will host a Dec. 12 update call on its reopened settlement offer for hospitals appealing denials of certain inpatient status claims. While similar to the agency’s 2014 settlement offer, this time CMS will provide partial payment equal to 66%, rather than 68%, of the net allowable amount of eligible claims. Beginning Dec.1, hospitals may submit an “expression of interest” in the offer through Jan. 31, 2017. A recording and slides from CMS’s Nov. 16 call on the settlement offer will be posted here in the next two weeks. For more on the settlement offer, see the AHA’s recent Legal Advisory for members.