August 01, 2019

Inpatient Rehabilitation Facility (IRF) Appeals Settlement Initiative

Jessica L. Gustafson and Abby Pendleton, The Health Law Partners, PC, Farmington Hills, MI

On June 17, 2019, the Centers for Medicare & Medicaid Services (CMS) announced a settlement opportunity for inpatient rehabilitation facilities (IRFs) willing to withdraw their pending appeals in exchange for a timely partial payment of the net payable amount of the claims.1  This offer constitutes CMS’s most recent attempt to alleviate the backlog of appeals pending at the Office of Medicare Hearings and Appeals (OMHA) Administrative Law Judge (ALJ) stage of appeal.  

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