We are pleased to offer the following resources related to Beneficiary and Family Centered Care. To view a document, click on it. To save it to your computer, right click on it.

Resources are updated frequently, so check back for more information.

Document name Sort

Description

Modified

Appointment of Representative Form

Official form to appoint someone to represent a beneficiary, facility, etc.

08/03/2011

BIPA Contact Form

Update your point of contact information.

08/03/2011

BIPA Timing of Notice Examples

To help understand new Medicare regulations pertaining to the beneficiary termination of service coverage appeal procedure.

08/03/2011

Coding Concerns Memo

Memo addressing concerns about coding.

08/03/2011

ED Process Q and As

Expedited Determination (ED) Process for Original Medicare Questions and Answers.

08/03/2011

Hospital Appeal Process Presentation

A presentation explaining the hospital appeal process.

08/03/2011

Hospital Issued Notices Presentation

A presentation on the 9SOW hospital issued notices.

08/03/2011

Organizational Contact Information Form

Contact information form for Medicare Appeals.

08/03/2011

Phys Acknowledge Monitoring Form

Physician's Acknowledgement Statement Monitoring Form

08/03/2011

Quality of Care Review Manual

QIO Manual - Chapter 5, explaining the quality of care review process.

08/03/2011

Request for Prepayment Review

For use when procedures require prepayment review

09/07/2011