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Part A East Qualified Independent Contractor (QIC) Telephone Discussion and Reopening Process Demonstration
C2C Innovative Solutions, Inc. (C2C), the Part A East QIC, is currently offering providers telephone discussions and reopenings under this Medicare Appeals Demonstration. This demonstration allows providers the valuable opportunity to engage in a telephone discussion with the QIC’s medical reviewer prior to their decision being rendered; or, it allows the provider its last opportunity to submit documentation for appeals that are pending a hearing at the Office of Medicare Hearings and Appeals (OMHA). The additional documentation may allow the QIC to render a fully favorable reopening decision and eliminate the need for the OMHA hearing.
Watch Your Mail and Respond
If you receive a request for documentation or a scheduling notice for a discussion from C2C, please respond promptly to take advantage of this unique opportunity. This additional exchange of information may result in appeal outcomes favorable to the provider.
For more information, please visit C2C Innovative Solutions website and select "Part A East Appeals Demonstration."