The Centers for Medicare & Medicaid Services (CMS) recently announced that it will be hosting a Commerical Repayment Center (CRC) Non-Group Health plan appeals webinar on September 24, 2020 to review the procedures and best practices for redeterminations (first-level appeals).
The complete webinar information is available in the Downloads section of the Coordination of Benefits & Recovery Overview What’s New page.
This webinar will primarily focus on how to effectively submit a redetermination request. During the webinar, CMS is expected to review appeal requirements, what is and is not subject to appeal, and details about what documentation is needed to support the appeal request in various situations.
Medicare conditional payments can be highly technical and appeals must be timely submitted with appropriate supporting documentation in order to effectively address reimbursement obligations. We will be sure to provide a recap following the webinar.
At MEDVAL, we have established a tried and true process to address conditional payments and mitigate exposure that enables us to get the best results possible. For more information about how we can help you, please fill out the form below.