tci Part B Insider - 2005 Issue 16

APPEALS: If Losing Thousands Doesn't Appeal To You, Streamline Your Processes

Prepare now for quicker appeals turnaround Starting this January, having your ducks in a row will be more important than ever when it comes to submitting appeals for denied claims. When the Centers for Medicare and Medicaid Services' new appeals process kicks in, you'll only have one chance to get appeals right. If you don't include all the important information in your second-level appeal to the Qualif- ied Independent Contractor (QIC), you won't be able to add any more information except if there is "good cause." Also, the timeframe to submit your QIC appeal will shorten from six...

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