New processes for Medicare patient-status appeals have arrived, with implications for finance teams

New processes for Medicare patient-status appeals have arrived, with implications for finance teams

If they have not done so already, hospitals should establish processes for responding to new regulations concerning status-appeal rights for Medicare beneficiaries. The regulations have taken effect in early 2025 after being published in an October 2024 final rule. That rule stemmed from the outcome of litigation that had begun 15 years earlier. Per the regulations, Medicare fee-for-service (FFS) beneficiaries have access to a new expedited appe…