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The Centers for Medicare and Medicaid Services (CMS), selected MAXIMUS Federal Services as the national Independent Review Entity for external reviews of Medicare managed care denials.
Who is MAXIMUS Federal Services?
MAXIMUS is a publicly traded company that provides a wide range of program management, information technology, and consulting services to government agencies throughout the United States, Canada, Australia, the United Kingdom and Saudi Arabia. The Company's clients include the Federal government, every state, and every major city and county in the United States, as well as numerous governments worldwide. Founded in 1975 with the mission of "Helping Government Serve the People," MAXIMUS has more than 13,000 employees located in more than 170 offices around the world. MAXIMUS Federal Services is part of MAXIMUS.
MAXIMUS Federal Services (Center for Health Dispute Resolution) is a group of experts on appeals. Medicare hired MAXIMUS Federal Services to look at denied appeals and decide if the health plan made the right decision. MAXIMUS Federal Services works for Medicare. MAXIMUS Federal Services does not work for the Medicare health plan. MAXIMUS Federal Services's job is to be fair and independent.
Our full-time, on-site Appeal Officers include health attorneys, nurses, public health experts and medical technicians. We are supported by a large and distinguished panel of physicians and practitioner consultants in every medical specialty area.