decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Intermediaries - Overview / CMS office to contact about intermediaries
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Article Overview
This article explains the general process for contacting intermediary contacts, regional offices, and CMS headquarters when providers believe an intermediary is not meeting needs related to service, information, or training. It is relevant to providers and administrative staff who need to understand the proper escalation path and the type of factual, professional communication CMS expects in these situations.
Why This Topic Matters
Knowing the correct CMS contact path can help providers escalate intermediary performance concerns efficiently and avoid delays caused by sending issues to the wrong office.
What You Will Learn
- How provider concerns about intermediary performance are routed
- When to involve regional offices or CMS headquarters
- How to frame a complaint in a factual and professional way
- What general information to include when describing a service problem
Who Should Read This
- Providers
- Medical office staff
- Billing and administrative personnel
- Compliance staff
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