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CMS expands phone demo

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10/23/2018

JACKSONVILLE, Fla. – CMS will expand a demonstration project that allows HME providers to speak with reconsideration professionals by phone to try and resolve their cases to jurisdictions A and B on Nov. 1.

Appeals update: Pressure mounts to expand phone demo

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12/15/2017

WASHINGTON – CMS is considering expanding a demonstration project to jurisdictions A and B that allows providers to speak with reconsideration professionals by phone to try and resolve their appeals at the second level, stakeholders say.

Not so QIC

C2C launches demo to resolve claims at the second level of appeals, before they escalate to the ALJ
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03/11/2016

JACKSONVILLE, Fla. – Certain HME providers will now have a voice at Medicare’s second level of appeals as part of a new demonstration project.

In brief: Appeals process, acquisitions and readmissions

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11/16/2012

WASHINGTON – The Office of Inspector General (OIG) recommends “coordinated training” for administrative law judges (ALJs) and qualified independent contractors (QICs) on the Medicare appeals process in a new report.

OIG study: Appeals process lacks clarity, consistency

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11/15/2012

WASHINGTON – The Office of Inspector General (OIG) recommends “coordinated training” for administrative law judges (ALJs) and qualified independent contractors (QICs) on the Medicare appeals process in a new report.