tci Medicare Compliance & Reimbursement - 2005 Issue 33

REHAB: Live Appeals Hearings Headed Toward Extinction

Expert fret over rule change that may damage appeal chances.Under the new appeals system, adjudicators don't want to see the appealing provider's face much - and that's probably not good for an appeal.The Centers for Medicare and Medicaid Services has set out a new appeals system featuring the qualified independent contractors and speedy new timelines for decisions. The system already has taken effect for rehab providers providing services under Part A providers and will phase in appeals for outpatient services provided under Part B on Jan. 1, 2006. Don't Count on a Live Hearing The new system...

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