CMS is extending the deadline for eligible professionals (EPs) to submit eligibility appeals under the Medicare Electronic Health Record (EHR) Incentive Programs 2011 payment year. The new deadline is Mon Apr 30, giving EPs an extra month to file their appeals.
An eligibility appeal allows a provider to show that all the requirements for the Medicare EHR Incentive Program were met and that he or she should have received a payment but could not because of circumstances outside of the provider's control.
CMS affords providers with a two-level appeal process: an informal review and a request for reconsideration. Within the two-level appeal process, there are three types of appeals that can be filed in the Medicare EHR Incentive Program: eligibility, meaningful use, and incentive payment appeals.
Detailed guidance on the appeals process and additional information on all of the appeal types are available on the CMS Office of Clinical Standards and Quality website.