Expediting Medicare appeals.
Health maintenance organizations (HMOs) must expand their appeals process for Medicare members needing care urgently. They also must now accept any physician's conclusion that the member's medical circumstances warrant expedited review, regardless of whether the physician is part of the HMO's network. HMOs must inform their Medicare members how to navigate the appeals maze.
Grimaldi
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D006279:Health Maintenance Organizations; D006801:Humans; D007345:Insurance Claim Review; D006278:Medicare; D013997:Time Factors; D014481:United States