Your Medicare Rights
As a person with Medicare, you have certain guaranteed rights. If your hospice program or doctor believes that you’re no longer eligible for hospice care because your condition has improved and you don’t agree, you have the right to ask for a review of your case. Your hospice provider should give you a notice that explains your right to an expedited (fast) review by an independent reviewer hired by Medicare, called a Quality Improvement Organization (QIO). If you don’t get this notice, ask for one. For more information about your Medicare rights, visit www.medicare.gov/Publications/Pubs/pdf/10112.pdf to view or print the booklet “Your Medicare Rights and Protections.” You can also call 1-800-MEDICARE (1‑800‑633‑4227). TTY users should call 1-877-486-2048.
If you have a complaint about the hospice that is providing your care, contact your State Survey Agency. Visit www.medicare.gov, and select “Ombudsman,” then “Inquiries and Complaints” to find the number of your State Survey Agency. You can also call 1-800-MEDICARE, and ask for your State Survey Agency’s phone number.
Changing Your Hospice Provider
You have the right to change providers only once during each period of care.
Medicare hospice benefit. How to identify and handling the denial. Usage of correct CPT code and Modifiers. Using correct form,ICD code
Monday, January 17, 2011
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