Article Detail - JE Part B
Redetermination versus Reconsideration - Appeals Newsletter Part 17
Noridian has seen an increase of Reconsiderations sent to Noridian as second level appeals, instead of Qualified Independent Contractor (QIC) - C2C Innovative Solutions. Here are some tips to determine whether to submit a redetermination or a reconsideration, and where to send your information.
Redetermination
Did your office recently receive information on a remittance advice that the claim was denied for something other than a clerical error?
- Complete portal process for a Redetermination or;
- Fill out a Redetermination paper form
Reconsideration
Did your office recently receive a letter with an unfavorable decision or a Medicare Redetermination Notice with a decision not in your favor?
- Qualified Independent Contractor - C2C Innovative Solutions
- Reconsideration process
- Complete the QIC portal process for a reconsideration or;
- Complete a Reconsideration paper form
Appeals Resources
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