Question

What is the second level of Medicare's appeal process and how many days upon receipt of the decision on redetermination must it be filed?

Answer 1

The second level of Medicare's appeal process is reconsideration by a Qualified Independent Contractor, which must be filed within 180 days of the redetermination decision.

Step-by-step explanation:

The second level of Medicare's appeal process is the reconsideration by a Qualified Independent Contractor (QIC). After receiving the decision on the first level of appeal, which is the redetermination, an appeal for reconsideration must be filed within 180 days. During this stage, there is a review of the initial decision made, and new evidence can be submitted to support the appeal. If the QIC upholds the initial decision, a beneficiary or provider has the option to move to further stages of appeal.