QIC overturns denials

Friday, April 18, 2014

WATERLOO, Iowa – Seventy-percent of the denials that U.S. Rehab’s Peggy Walker sent to C2C Solutions for review following a forum hosted by the Office of Medicare Hearings and Appeals (OMHA) have been overturned fully or partially in favor of providers. C2C Solutions is a Qualified Independent Contractor (QIC) that handles the second level of appeals. “C2C Solutions was willing to look over the denials that were made in error,” Walker said. “The errors were technical errors that were reviewed inappropriately.” Walker encourages providers that have had claims denied for technical reasons to submit them to her for review and possible reopening using this form.