CMS posts guidelines for EHR incentive appeals

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The Centers for Medicare & Medicaid Services (CMS) is implementing an appeals process for its Medicare EHR incentive program and posted guidelines on how to appeal a payment decision on its website.

A contract for the administrative review of appeals was awarded to appeals support contractor Provider Resources, according to CMS' website. Erie, Pa.-based Provider Resources will work with the CMS Office of Clinical Standards and Quality to provide customer service support and technical assistance, but appeals will be filed via a Provider Resources web portal.

A final rule published in December 2011 on the EHR incentive program established a process for appealing payment decisions made through the Medicaid EHR incentive program, but not for the Medicare EHR incentive program.

For more information regarding the appeals process, visit the CMS “EHR Incentive Program Appeals” website.

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