Medicare: Medicare Hearings and Appeals

Any party that is dissatisfied with the Qualified Independent Contractor’s (QIC’s) reconsideration decision may request a hearing before an Administrative Law Judge (ALJ), or a review of the administrative record by an attorney adjudicator within the Office of Medicare Hearings and Appeals (OMHA). If the adjudication period for the QIC to complete its reconsideration has elapsed and the QIC is unable to complete the reconsideration by the deadline (with allowance for extensions), the appellant party has the opportunity to escalate the appeal to an ALJ or attorney adjudicator. 

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