Working out the kinks for NOMNCs and QIO Appeals (SN, OT, ST - 1.0 CEU & ACCT - 1.0 TB)

1 module


Course Length
50 mins

Nanette Smith



The Centers for Medicare & Medicaid (CMS) Quality Improvement Organization (QIO) reviews thousands of appeals annually. In 2019, approximately 50% of Florida 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. Multi-faceted, these failures include issues with the Notice of Medicare Non-Coverage (NOMNC) form, records submission, and meeting deadlines. During this program, the speaker will review the basics of NOMNCs, how to respond to a QIO appeal request, and how to avoid common mistakes. 

Course Author: Nanette Smith NHA


By the conclusion of this program, the attendee should be able to:

  1. Understand the background and federal requirements for issuing a NOMNC, and the beneficiary's right to appeal to the QIO.
  2. Explain how to properly issue a NOMNC, respond to a QIO appeal, and the critical importance of understanding the process.
  3. Recognize the most common errors associated with NOMNCs and appeals that can have a financial impact on the provider.


By completing/passing this course, you will attain the certificate HCAF Course Certificate

Learning Credits

HCAF Course: Working Out the Kinks for NOMNC & QIO Appeals
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