tci Medicare Compliance & Reimbursement - 2004 Issue 39

Home Care: HHAs Get Ready For Revamped Appeals Process

New 'QIC' step could bring quicker objective review.Medicare is again tinkering with its appeals processes, and, surprisingly, one of the upcoming changes could benefit providers.The appeals change adding a qualified independent contractor (QIC) step has been a long time coming. Congress passed the step along with other appeals changes in the Benefits Improvement and Protection Act of 2000 (BIPA).The Centers for Medicare & Medicaid Services will contract with at least four QICs to process the second level of Medicare appeals, the Government Accountability Office explains in a new report (GAO-05-45). The first level of appeals is...

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