tci Medicare Compliance & Reimbursement - 2008 Issue 28

Appeals: Stay On Top Of Appeals Process With These Quick Tips

5 steps may keep you from suffering a denial and forfeiting your due reimbursement. The government may be having trouble meeting appeals deadlines, but you're still expected to keep track of them. Follow these quick tips to ensure that your claims are on track, and you'll be in the clear if the QIC ever tries to claim that you didn't follow the process guidelines to the letter: According to MLN Matters article MM4019, you should meet the following time requirements in your appeals process: First step: During redetermination, you must appeal to your contractor within 120 days from the...

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