tci Part B Insider - 2008 Issue 27

Part B Appeals: Part B QICs Missed 58 Percent of Appeals Deadlines, OIG Says

54 percent of QIC appeals included wrong information If you-ve been relying on the Medicare Qualified Independent Contract (QIC) program to take care of your appeals in a timely fashion, the OIG has bad news. Two years ago, CMS changed the appeals process, ensuring that you-ll first appeal a claim to your 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 (ALJ) level. Although the new process constituted a change to the way practices were used to appealing, some analysts were relieved that...

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