title: CMS adopts final regulations making major changes to provider reimbursement appeal procedures.
abstract: Healthcare providers, practitioners, and suppliers have statutory rights to appeal the amount of payment for their services and supplies under the Medicare program. However, the procedures for these appeals are spelled out in various Medicare regulations and through informal program guidance. The Medicare program recently made major changes to the regulations that govern reimbursement appeals by providers. This article reviews these changes and how they affect providers' appeals.
authors.affiliation: Health Law Practice Group of Duane Morris LLP, 505 9th Street, N.W., Suite 1000, Washington, DC 20004-2166, USA. clcrosswhite@duanemorris.com
authors.forename: Christopher L
authors.initials: CL
authors.lastname: Crosswhite
mesh_terms: D006282:Health Personnel / Q000191:economics* / Q000331:legislation & jurisprudence*; D006801:Humans; D007345:Insurance Claim Review / Q000191:economics* / Q000331:legislation & jurisprudence*; D007349:Insurance, Health, Reimbursement / Q000191:economics* / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000191:economics* / Q000331:legislation & jurisprudence*; D011445:Prospective Payment System / Q000191:economics* / Q000331:legislation & jurisprudence*; D014481:United States