September 10, 2014

CMS 68% Solution Raises More Issues

By


Andrew Wachler

Tuesday’s national provider call conducted by the Centers for Medicare & Medicaid Services (CMS) to discuss its latest settlement offer raised a number of important questions that still have to be answered.

“CMS, having promoted the recovery auditor contractor (RAC) program on hospitals in 2010, is now saying to hospitals “Let’s Make Deal,” says healthcare attorney Andrew B. Wachler who monitored Tuesday’s call. “Hospitals and health systems will be given an opportunity over the next six weeks to accept their offer.”

The question Wachler raises is, “Should they?”

CMS is offering acute-care and critical access hospitals (CAHs) an administrative agreement to resolve their pending appeals or waive their right to request an appeal in exchange for what the agency describes as a “timely partial payment of 68 percent of the net payable amount.”

“Each hospital and health system has its own unique set of factors to consider,” advises Wachler. “This is a very important decision and needs to be made cautiously.”

Recognizing the complexity of the issue, Wachler will be conducting a special live webcast on the subject on Wednesday. Sept. 17, 2014 at 1:30 PM ET during which time he will answer questions from attendees. RACmonitor is sponsoring the webcast.

“All of us in healthcare — providers as well as consultants and the legal community — will be deep in the woods on this offer,” warns Wachler. “We will provide an analysis of factors and scenarios during the webcast.”

>> Click here to register for the special live webcast.

Chuck Buck

Chuck Buck is the publisher of RACmonitor and is the program host and executive producer of Monitor Monday.

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