Medicare Advantage complaints that the plans don’t want – and the review of systems that wasn’t done

Medicare Advantage complaints that the plans don’t want – and the review of systems that wasn’t done 
RACmonitor; by Ronald Hirsch, MD, FACP, ACPA-C, CHCQM, CHRI; 4/24/24 
... In the past, I have talked about complaining to your regional Centers for Medicare & Medicaid Services (CMS) office about violations of CMS-4201-F, but Dr. [Eddie] Hu described how to do it to actually get action. [Click on the title's link for details] ... Now, why should you take the time to file these complaints? ... Why should you take the time to file these complaints? Because CMS tracks formal complaints, and a lot of complaints can significantly affect their quality bonus – and we know how when their money is at risk, the MA plans suddenly pay attention. ...