DME QIC Appeals Update

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Effective September 1, 2019, MAXIMUS Federal will serve as the DME QIC for the entire United States and the U.S. territories. This means that any requests for reconsiderations received on or after September 1, 2019 will be processed by MAXIMUS.

With the switch from C2C to MAXIMUS comes the ability to submit a Reconsideration electronically. MAXIMUS will accept appeals via ESMD to all suppliers through the QIC Appeals Portal.

Redeterminations will continue to be handled by the DME MACs, CGS and Noridian.  Instructions on how to file a reconsideration request, including the correct mailing address, will be included on the Medicare Redetermination Notice.

Read the full story from The van Halem Group.


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