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CONTRACT HEARING OFFICER SERVICES
By way of introduction, The Center for Dispute Resolution has been addressing Medicare denials since 1998. Our clients have been Medicare Carriers, Intermediaries, and DMERCs as well as a Medicare Qualified Independent Contractor (QIC). Some of our Medicare clients have been:
Blue Cross and Blue Shield of Arkansas
Blue Cross and Blue Shield of Kansas
CareFirst of Maryland
Cigna Region D Medicare Services
Empire Medicare Services
First Coast Service Options, LLC
Health Now New York, Inc.
HGS Administrators, LLC
Highmark Medicare Services
Q2 Administrators, LLC
TrailBlazer Health Enterprises, LLC
Veritus Medicare Services.
With the implementation of the QICs, we are now in a unique position to offer our experience and expertise to Medicare Providers and Suppliers. We can assist your entity in identifying claim payment issues encompassing denials and appeals, as well as hearing representation.
Our staff is comprised of experienced professionals, some of which have been involved with Medicare since 1980. As Medicare hearing officers, we have identified deficiencies which resulted in claim denials, as well as additional payments as a result of processing errors. Let our knowledge go to work for you and assist you with your accounts receivables.
Medicare Experience
CDR staff members have combined administrative hearing experience in excess of 50 years. This experience includes approximately 45 years of Medicare Hearing experience, including the representation of providers, suppliers, and beneficiaries at hearings as well as serving as Medicare Hearing Officers for the Part B and DMERC programs.
Our cadre of hearing officers is available to support your hearing needs. In fact, staff members have in excess of 75 years combined experience with various facets of the Medicare program. Their experience includes but is not limited to: Part A, Part B and DMERC, covering orthotics, prosthetics, utilization review and overpayments under the Medicare program.
CDR provides Medicare Part B and Part B under Part A hearing services, handling appeals for Providers and Suppliers throughout the United States.
Social Services Hearings
CDR has also been under contract since 1998 with the Delaware Division of Social Services, presiding over State Hearings for beneficiaries whose social service benefits have been disallowed, reduced or terminated. These hearings include medical necessity determinations under the state Medicaid program relating to both medical procedures and medical equipment. In addition, we review issues relating to eligibility and benefit level determinations for food stamps, childcare, general assistance, and overpayment recoupment. We are also contracted to perform Tax Intercept Hearings for the Audit and Recovery Management Services Unit and hearings for the Division of Long Term Care Residentsâ Protection.
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