tci Part B Insider - 2005 Issue 16

APPEALS: There's More To Know About New Appeals Process

The carrier won't have to notify you when it receives your appeal requestStarting in January, when a Medicare carrier rejects your first-level appeal, the carrier will also issue a helpful new notice. These notices will include specific reasons for the denial and an account of missing information or documentation required for the reconsideration at the Qualified Independent Contractor (QIC) level, Jennifer Frantz with the Centers for Medicare and Medicaid Services revealed at the April 15 Open Door Forum on the new appeals process.Other new forum information:  Administrative Law Judges (ALJs) will now review each case de novo. That...

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