In an effort to inform AHCA/NCAL members about available content on the CMS Final Rule – Medicare Programs: Appeal Rights for Certain Changes in Patient Status, we are providing a link to a
new complimentary webinar by the Center for Medicare Advocacy that will be held next Tuesday, December 17. The webinar will review the basics of both types of new appeals (retrospective and prospective), who can appeal, and steps that people who think they are class members can take.
As noted in previous AHCA/NCAL communications, on October 11, the Centers for Medicare and Medicaid Services (CMS)
finalized the Medicare Program: Appeal Rights for Certain Changes in Patient Status rule, which established court-ordered appeals processes for Medicare beneficiaries admitted as hospital inpatients but later reclassified as outpatients receiving observation services during their hospital stay.
The final rule remained largely as proposed but offers expanded timelines and additional beneficiary protections, which AHCA/NCAL advocated for and supports as part of its
coalition efforts. You can
read a summary of the rule, along with further details on this issue.