FutureFocus April 18, 2018 CMS Expands Benefits For Medicare Advantage: Impact To PAC Providers

Lisa Remington

In this week’s FutureFocus, we provide insights about Medicare Advantage Plans and the recent announcement of expanding primary health-related benefits. Attorney, Elizabeth Hogue, warns providers to be cognizant of the experience levels of private duty companies working with the government or commercial insurers. In our Washington Report, we call attention to the Annual Anti-Fraud Report and the findings about home health providers. We remind providers that the low volume appeals settlements deadline have been extended.

Lisa Remington, President, Remington Health Strategy Group

The deadline to submit an expression of interest (EOI) for the Low Volume Appeals (LVA) Initiative is being extended to June 8, 2018. Appellants with either an odd or an even NPI, that meet the eligibility criteria, should submit an EOI by the June 8 deadline.

CMS beginning February 5 has been accepting EOIs for a limited settlement agreement option for Medicare Fee-For-Service providers, physicians, and suppliers (appellants) with fewer than 500 appeals pending at the Office of Medicare Hearing and Appeals (OMHA) and the Medicare Appeals Council at the Departmental Appeals Board.

Details about the process, including a fillable EOI, are available at http://go.cms.gov/LVA