The FAIR DME Appeals Act requires Medicare contractors to pay legal fees for suppliers incorrectly denied payment.
The FAIR DME Appeals Act amends the Social Security Act to mandate that Medicare administrative contractors, unified program integrity contractors, and qualified independent contractors pay the legal fees for durable medical equipment suppliers who were incorrectly denied payment. This applies to cases where the supplier wins a favorable final appeal. The act defines reasonable attorney fees and litigation costs, and specifies that these fees cannot be subject to indemnification by the Secretary.
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