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Session 61 | Get in Step with NOMNCs and QIO Appeals

Session Summary

The Quality Improvement Organization (QIO) reviews thousands of appeals annually. In 2019, approximately 50% of the appeals submitted were terminated due to technical failures which were often the fault of the submitting provider. These failures can result in substantial revenue loss to the provider, and often include issues with the Notice of Medicare Non-Coverage (NOMNC), records submission, and meeting deadlines. This session reviews the basics of NOMNCs, how to respond to a QIO appeal request, and how to avoid common mistakes.