An email on behalf of the OMHA Medicare Appellant Forum announced today that the Office of Medicare Hearings and Appeals’(OMHA) had scheduled an open door teleconference which will discuss expansion of its Settlement Conference Facilitation (SCF) Pilot. The open door teleconference will be held on October 15, 2015 at 1:00pm-2:00pm.
Sarah Mendiola, F&W’s Director of Clinical Services and Senior Associate, will present at the Maryland AAHAM Annual Institute in Ocean City, Maryland on Thursday, September 17th. Ms. Mendiola’s presentation, titled “Navigating the Nebulous Path Through Exchange Plan Denials,” will address unique denial situations health care providers may begin to encounter with the proliferation of exchange plans and provide insight into how to effectively fight these denials. During this session, Ms. Mendiola will help you to understand the grace period associated with non-payment of member premiums and what, if anything, the provider can do to cure. Participant will also come to understand how the narrowing of networks associated with exchange plans can impact your current “network.”