Monitor Mondays

Appeal Relief Has Arrived: OMHA Implements Expansion to Settlement Conference Facilitation


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The Office of Medicare Hearings and Appeals (OMHA) has implemented the long-awaited expansion to its Settlement Conference Facilitation (SCF) process. The process provides appellants and the Centers for Medicare & Medicaid Services (CMS) an opportunity to discuss a mutually agreeable resolution for claims appealed to the administrative law judge (ALJ) or Medicare Appeals Council (Council) levels of appeal.

Reporting our lead story during the next edition of Monitor Mondays will be healthcare attorney Erin Diesel Roumayah with Wachler & Associates.

The broadcast rundown also will include:

  • Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, will report on all the latest hot topics and present the Monitor Mondays Listener Survey.

  • Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron will report on another example of a potentially troublesome issue that could pose a risk to your facility.

  • Medicare Advantage Report: Monitor Mondays national correspondent J. Paul Spencer, a senior healthcare consultant for DoctorsManagement, will continue to report on the vexing issue of Medicare Advantage.

  • Special Assignment: Author, educator, and consultant Duane Abbey, president of Abbey & Abbey Consultants, Inc., will report on the Improving Medicare Post-Acute Care Transformation (IMPACT) Act.r, a senior healthcare consultant for DoctorsManagement, will continue to report on the vexing issue of Medicare Advantage.

  • Monday Rounds: Christopher Halleman, DO, physician advisor at the Brundage Group, will be making his Monday Rounds, substituting for Dr. Ronald Hirsch, who is on assignment.

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