OMHA Announces Claims Settlement Expansion for 2020 

Situation Report | September 14, 2020

According to the National Association for Home Care and Hospice (NAHC), a new alternative dispute resolution process is now available through the Office of Medicare Hearings and Appeals (OMHA).

The Settlement Conference Facilitation (SCF) 2020 process brings certain providers/suppliers and the U.S. Centers for Medicare and Medicaid Services (CMS) together to discuss the potential of a mutually agreeable resolution for eligible Medicare Part A and Part B claims appealed to OMHA or the Medicare Appeals Council.

The 2020 SCF is being expanded to increase the number of appeals eligible for SCF including, now, request(s) for Administrative Law Judge (ALJ) hearing or Council review filed by the appellant on or before March 31, 2020.

SCF information, including Frequently Asked Questions and SCF forms, is available here.