CMS Proposal May Allow Access to Appeal Process for Medicare Advantage (MA) Denials

The Centers for Medicare and Medicaid Services (CMS) released its proposal detailing access to QIO appeal process for Medicare Advantage (MA) denials; a BIG step towards leveling the playing field for beneficiaries and providers. Celtic’s President & CEO, Maureen McCathy, spoke with McKnights Long-Term Care News about the fantastic news.

Coupled with significant progress achieved in the CY 2024 MA final rule, providers have increased opportunities to hold MAOs accountable to traditional Medicare coverage guidelines.

Have you received baseless denials from MA insurers? Partner with the experts at Celtic Consulting to fight managed care denials. Celtic is a post-acute care advisory firm, delivering operational, clinical, and financial support to health care providers. Our team of subject matter experts provide appeals and denials management assistance to clients nationwide. Further, Celtic Consulting specializes in managed care accounts receivable and revenue collections and has helped clients collect millions of dollars of outstanding revenue. Contact us today to discuss your options.

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