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Tag: C2C Innovative Solutions


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Jurisdictions A and B: Phone demo is coming your way

October 26, 2018Liz Beaulieu, Editor

WASHINGTON - Christmas has come early for HME providers who have disputed Medicare claims.CMS announced last week that it plans to expand a demonstration project—one that allows providers to speak with reconsideration professionals by phone to try to resolve their denied claims; or re-open denied claims that are stuck at the administrative law judge level—to jurisdictions A and B on Nov. 1.“We've been waiting for this with bated breath,” said Andrea Stark, a reimbursement...

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CMS expands phone demo

October 23, 2018HME News Staff

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.The agency cited “strong support from the supplier community and the initial success of the demonstration” as reasons to expand the phone demo.“Effective on or after Nov. 1, the DME QIC will offer telephone discussions and/or re-openings to DME suppliers within the DME MAC Jurisdictions...

ALJ, appeals, C2C Innovative Solutions, phone demo, QIC


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Stakeholders fear QIC switch

April 20, 2018Liz Beaulieu, Editor

YARMOUTH, Maine - Stakeholders are not happy that C2C Innovative Solutions appears to be losing its gig as the Qualified Independent Contractor for HME.Jacksonville, Fla.-based C2C has popularized a demonstration project that allows HME providers to speak with reconsideration professionals by phone to try and resolve their cases. In 2017, 64% of claims that were involved in the demo were found fully favorable and 3% were found partially favorable, AAHomecare recently reported.“C2C has been...

ALJ backlog, C2C Innovative Solutions, Qualified Independent Contractor


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Also Noted

Update: C2C phone demo

April 12, 2018HME News Staff

WASHINGTON - C2C Innovative Solutions, the QIC contractor, reopened 54,138 claims and withdrew 27,132 claims from the Administrative Law Judge backlog in 2017, according to a bulletin from AAHomecare. Of those who participated in the telephone demonstration, 64% of the claims were found fully favorable and 3% were found partially favorable. AAHomecare also reports that C2C has also lost their QIC contract, a decision it expects the contractor to appeal.

ALJ backlog, C2C Innovative Solutions, QIC demo


News

Industry to CMS: Build out phone demo

February 24, 2017Liz Beaulieu, Editor

WASHINGTON - Industry stakeholders are throwing their support behind expanding a demonstration project that allows providers to speak with reconsideration professionals by phone to try and resolve their appeals.AAHomecare on Feb. 22 submitted comments to CMS, recommending that the agency also consider applying the phone demo to the first level of appeals. Currently, it applies only to the second level of appeals.“Although the demonstration at the second level of appeals has been a positive...

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CMS contractor expands phone demo

November 4, 2016Liz Beaulieu, Editor

JACKSONVILLE, Fla. - C2C Innovative Solutions, the contractor handling the second level of the Medicare appeals process, has received the green light from CMS to expand a demonstration project that allows HME providers to speak with reconsideration professionals by phone to try and resolve their cases.C2C, CMS's Qualified Independent Contractor or QIC, received word from the agency on Nov. 1 that it can open the demo to all product categories, with the exception of power mobility devices, Daniel...

ALJ, audits, C2C Innovative Solutions, Medicare appeals


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Not so QIC

March 11, 2016Liz Beaulieu, Editor

JACKSONVILLE, Fla. - Certain HME providers will now have a voice at Medicare's second level of appeals as part of a new demonstration project.C2C Innovative Solutions, Medicare's Qualified Independent Contractor or QIC, has launched a demo project that allows providers in Jurisdictions C and D to speak with a reconsideration professional by phone to try and resolve their cases.“This is the first real solution that anyone has brought forward that could potentially have an impact on reducing...

ALJ backlog, Andrea Stark, C2C Innovative Solutions, QIC, Wayne van Halem


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