As we previously reported, CMS recently issued a final rule pursuant to the SMART Act creating regulations establishing a formal right of appeal and an administrative appeals process for applicable plans. The new regulations will go into effect on April 28, 2015, and will allow applicable plans to go through an administrative appeals process if CMS issues a formal demand for conditional payment claims naming the applicable plan as the debtor. An "applicable plan" is defined as "liability insurance (including self-insurance), no-fault insurance, or a workers' compensation law or plan."
CMS has scheduled a webinar for
April 28, 2015 at 1:00 pm Eastern time to discuss the appeals process. CMS requests that viewers begin logging in 15 minutes before the start time due to the anticipated large number of participants. You may sign up by clicking
here.
