tci Medicare Compliance & Reimbursement - 2008 Issue 31

Reimbursement: Part B QICs Missed 68 Percent Of Appeals Deadlines, OIG Says Deadlines, OIG Says

And 54 percent of both Part A and Part B QIC appeals included wrong info. If you've been relying on the Medicare Qualified Independent Contractor (QIC) program to take care of your appeals in a timely fashion, the OIG has bad news. Two years ago, the Centers for Medicare & Medicaid Services changed the appeals process, so that you first appeal a claim to your intermediary or carrier, followed by filing a reconsideration appeal to the QIC, and then if that doesn't pan out, you can appeal at the administrative law judge level. Although the new process changed the...

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