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Learn About Appeals at Acentra Health
Manage episode 494383183 series 3354544
As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare.
This episode is a conversation with our guests, Rose Hartnett, RN, MS, Operations Director, and Trena Dodson, LPN, Appeals Manager, for Acentra Health. In this podcast, our guests will share information about our hospital discharge and skilled service termination appeals as well as our new observation appeals.
For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com.
KEY TOPICS
00:24: Overview, introduction of guests, Rose Hartnett and Trena Dodson
02:40: What are the different types of appeals?
07:43: Explanation of the appeals process
10:43: Examples of why appeals are filed
12:03: What do physician reviewers look for while reviewing an appeal?
13:54: Final thoughts
SUBSCRIBE
Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at www.acentraqio.com.
RESOURCES
BFCC-QIO Information for stakeholders: www.acentraqio.com/partners
BFCC-QIO Information for people who have Medicare: www.acentraqio.com/bene
BFCC-QIO Appeal Information - https://acentraqio.com/bene/appeal.aspx
BFCC-QIO's Case Status Tool (check appeal status) - https://acentraqio.com/casestatus/
Music: Motivational Upbeat Corporate by RinkevichMusic
https://soundcloud.com/rinkevichmusic
Video Link: https://bit.ly/3NNqGTs
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