Tag: QIC demo

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.

WASHINGTON - The wait time for an Administrative Law Judge hearing keeps growing—a symptom of ongoing problems with the audit process, say industry attorneys.“I don't think the problem lies in appeals,” said Ross Burris, an attorney in the Atlanta office of Polsinelli. “The problem lies lower down, either with audits that are too broad, or MACs that are just rubberstamping what the audit contractors are doing.”In the first quarter of 2016, the wait was 796 days. By the...

Kansas City, Mo. - Able Care Health Equipment in Kansas City, Mo., was recently selected to take part in a new demo project that provides a more interactive process for resolving claims at Medicare's second level of appeals.The demo, launched in January by C2C Innovative Solutions, Medicare's Qualified Independent Contractor or QIC, allows providers to speak with a reconsideration professional by phone to try and resolve their cases.Jason Hood, CFO of Able Care Health Equipment, spoke to HME News...