Welcome, QIO Liaisons and Medicare Advantage organizations

Materials for Acumentra Health Hospital Liaisons and MA review staff

Pocket cards

• Observation Status pocket card updated 7/07
• Medicare Documentation Guide pocket card updated 7/07

CMS information and hospital manuals on the CMS website

• Hospital discharge appeal notices (new "Important Message from Medicare" process)
• Medicare managed care appeals and grievances
• Hospital information resources for Medicare
• Medicare hospital manuals (see link to "CMS Internet-Only Manuals")
• CMS news and headlines

Resources for utilization, review, or coding professionals

• Medicare review pages on this website
• Coding and documentation resources
• Hospital discharge appeal notices (revised Important Message from Medicare)
• HINNs
• Other notices of noncoverage
• EMTALA resources
• Related links for utilization, review, or coding professionals
• Case review information
  • Flow sheet illustrating the medical record review process (PDF)
  • HTML text version of record review process

Mediation resources

• Information and links

Contact

For more information, or to send us comments, use our contact form.