LTCOP: Center for Medicare Advocacy Latest Alerts

Center for Medicare Advocacy Latest Alerts

Discharge Planning Tips
Medicare beneficiaries often need care in a skilled nursing facility after an inpatient hospitalization.  For these patients, hospitals are responsible for identifying skilled nursing facilities within the geographic region that can meet their medical needs.  Until such a placement is found, the beneficiary will not be responsible for her hospital stay. For more information about Tips for Evaluating a Hospitalís Skilled Nursing Facility Placement Choices follow this link.

CMS Restructures Quality Improvement Organization (QIO) Program       On May 9, 2014, the Centers for Medicare & Medicaid Services (CMS) announced the first phase of its restructuring of the QIO functions. These contractors will be responsible for ensuring consistency in the review process with respect to beneficiary complaints. CMS describes these two contractors as its Beneficiary and Family-Centered (BFCC) QIO contractors. For more information about QIO restructures follow this link.


Delivery and Set-Up Guidelines for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies  (DMEPOS)                                                                  The Centers for Medicare & Medicaid Services (CMS) is charged with the implementation and oversight of the DMEPOS program.  Since the rollout of the DMEPOS competitive bidding program (CBP) in July, 2008, there has been confusion over what constitutes delivery and set-up of specific DMEPOS items. In some instances, beneficiaries have experienced delays in obtaining the necessary DMEPOS items. In other instances, beneficiaries have received items through the mail that have not been set-up or assembled. For more information regarding DMEPOS follow this link.


Content Last Modified on 8/11/2014 9:17:31 AM