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Administrative Appeals › QICs

Baker Donelson

CMS Limits MAC and QIC Scope of Review

Baker Donelson on

Medicare Administrative Contractors (MACs) and Qualified Independent Contractors (QICs) should not expand redeterminations and reconsiderations of claims denied on the basis of complex pre–or post–pay payments or automated...more

Tucker Arensberg, P.C.

CMS Limits Scope of Review for MACs

Tucker Arensberg, P.C. on

CMS issued a special edition MLN Matters meant to be effective August 1, 2015. The guidance reflects CMS instructions to Medicare Administrative Contractors (MACs) and Qualified Independent Contractors (QICs) regarding the...more

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