Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 320.6

Forwarding QIC Case Files

Last amended: 2019Year: 2019Length: 140 wordsOfficial source
320.6 - Forwarding QIC Case Files (Rev. 4380, Issued: 08-30-19, Effective: 07-08-19, Implementation: 10- 01-19) MACs shall send/transmit the case file within 7 calendar days of the date of the QIC's request. The date of QIC's request is defined as the date the phone call is made (if a message is left, it is defined as the date the message was left) or the date of the email request. The case files must be sent either by an electronic means agreed upon in the joint operating agreement or by a courier service so that the case file is received by the QIC before or on the 8th calendar day after its request. The MAC counts the costs associated with sending case files in the Contractor Administrative Budget and Financial Management (CAFM) code designated for preparing/transferring case files to the QIC.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 320.6: Forwarding QIC Case Files | Justis AI