CMS grievance requirements

Don’t Let CMS Grievance Standards Give You Grief: Put Your Policy In Place

Nobody’s perfect—including your hospital staff. Patients will complain. But you have a responsibility to your patients and to your hospital to comply with the grievance requirements called for by the Centers for Medicare and Medicaid Services (CMS), the Office for Civil Rights (OCR), and the Joint Commission—and your accreditation organization. Watch out: The third...

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Put Your Best Foot Forward To Avoid DME Denials

Durable medical equipment (DME) billing continues to be scrutinized by Medicare and other commercial carriers. The Centers for Medicare and Medicaid Services (CMS) offers extensive and detailed documentation guidelines for DME in general, as well as other guidelines for documentation that can be found in Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs)....

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