tci Medicare Compliance & Reimbursement - 2006 Issue 1

PHYSICIANS: Knowledge Of LCDs Vital To 2006 Appeals

Practices that don't have good communication between departments could suffer.Physicians will have to submit all their information for an appeal at the Qualified Independent Contractor level starting in January. If physicians leave out important documents that could turn the tide, they won't be able to add them after the QIC level. Until now, providers have tended to wait until they got to the Administrative Law Judge level to submit any additional evidence, notes attorney Alan Reider with Arent Fox in Washington. The evidence physicians submit at the carrier level won't do much good if it's inconsistent with the...

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