Monthly Archives: February 2011

CMS Issues Proposed Rule on Rights of Beneficiaries to Make Complaints to Quality Improvement Organizations (QIOs)

On February 2, 2011, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule in the Federal Register, 76 FR 5755, that requires most Medicare providers and suppliers to provide written notice to beneficiaries of their right to lodge quality of care complaints with Quality Improvement Organizations (QIOs).

CMS contracts with a QIO in each state. QIOs are mostly private organizations staffed by health care professionals that CMS has trained to review the quality of medical care, help Medicare beneficiaries with complaints about care, and to implement improvements in the quality of care provided by Medicare providers and suppliers. CMS’ mission for the QIO Program is to improve the effectiveness, efficiency, economy, and quality of services delivered to Medicare beneficiaries. Continue reading

CMS Issues – MLN Matters on Expansion of Durable Medical Equipment (DME) Supplier Standards

On 2/1/2011, CMS Issued MLN Matters No. SE1032 entitled “Expansion of Durable Medical Equipment (DME) Supplier Standards” 

The article provides information for DMEPOS suppliers on the new expanded CMS enrollment standards that suppliers must meet in order to establish and/or maintain billing privileges in the Medicare Program. Continue reading