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How to File a Complaint with Medicare

Medicare receives over 100,000 complaints annually. You’re not alone if you’re dissatisfied with any aspect of the federal healthcare program. You might be wondering how to express your concerns. Frequently Asked Questions What is a grievance Medicare? A Medicare grievance is a patient’s dissatisfaction with any aspect of a health care provider’s service or even the health care plan itself. It can be for reasons such as an inability to schedule an appointment with an approved Medicare provider or feeling like you were treated poorly by a doctor, nurse, or other medical staff member. How do I file a CMSLearn MoreHow to File a Complaint with Medicare

Understanding the CMS Open Payments

Open Payments, managed by the Centers for Medicare & Medicaid Services (CMS), is a national disclosure program created by the Affordable Care Act (ACA). Open Payments is a federally mandated program that collects and publishes information about payments reporting entities make to covered recipients. The Open Payments database is publicly accessible. The program promotes transparency and accountability by helping consumers understand the financial relationships between pharmaceutical and medical device companies, physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, anesthesiologist assistants, and certified nurse midwives otherwise referred to as Non-Physician Practitioners (NPP), and teaching hospitals. The healthcare providers included in Open PaymentsLearn MoreUnderstanding the CMS Open Payments

How to File a HIPAA Complaint

The Centers for Medicare & Medicaid Services (CMS) enforces HIPAA Administrative Simplification Requirements on behalf of Health and Human Services (HHS). The CMS enforcement activities include investigating complaints about potential noncompliance. Anyone can file a complaint against a HIPAA-covered entity. Overview of ASETT The Administrative Simplification Enforcement and Testing Tool (ASETT) is a free online tool operated by the CMS National Standards Group (NSG). One of the tool’s key capabilities is allowing users to file a complaint alleging that a HIPAA-covered entity, directly or through a business associate acting on its behalf, is noncompliant with Administrative Simplification requirements related toLearn MoreHow to File a HIPAA Complaint

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