Aging Health Matters

As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. 

This episode is a conversation with our guest, Dr. Angeline Brunetto, Associate Medical Director for Appeals for Acentra Health. She will share information about how Medicare coverage works during a hospital stay.

For more information about Acentra Health BFCC-QIO, please visit https://www.acentraqio.com.

KEY TOPICS

00:24: Overview, introduction of Dr. Angeline Brunetto

01:31: What is Medicare Part A?

02:39: What is Medicare Part B?

03:30: What is Medicare Part C?

04:40: What is Medicare Part D?

05:35: What is a benefit period and lifetime reserve day?

07:28: What is observation?

09:52: What is a hospital discharge appeal?

12:33: Final thoughts

SUBSCRIBE

Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at https://www.acentraqio.com.

RESOURCES

BFCC-QIO Information for stakeholders: https://www.acentraqio.com/partners

BFCC-QIO Information for people who have Medicare: https://www.acentraqio.com/bene

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. 

This episode is a conversation with our guest, Dr. Jessica Whitley, Chief Medical Officer for Acentra Health. She will share information about appeals and how you can protect your skilled nursing facility benefits.

For more information about Acentra Health BFCC-QIO, please visit https://www.acentraqio.com.

KEY TOPICS

00:24: Overview, introduction of Dr. Jessica Whitley

01:30: Who issues the Notice of Medicare Non-coverage?

06:28: What are skilled services?

10:19: Therapy participation

14:15: Medical record review

16:54: How you can help yourself in the skilled nursing facility

26:04: Final thoughts

SUBSCRIBE

 Subscribe to our newsletters: Case Review Connections, On the Healthcare Frontat https://www.acentraqio.com.

RESOURCES

BFCC-QIO Information for stakeholders: https://www.acentraqio.com/partners

BFCC-QIO Information for people who have Medicare: https://www.acentraqio.com/bene

BFCC-QIO Information for people filing an appeal: https://acentraqio.com/bene/appeal

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. 

This episode is a conversation with our guest, Dr. Angeline Brunetto, Associate Medical Director for Acentra Health. She will share information about skin cancer awareness to commemorate Skin Cancer Awareness Month, which is the May health observance.

For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com.

KEY TOPICS

00:24: Overview, introduction of Dr. Angeline Brunetto 

01:16: Why does sun safety matter?

02:57: What causes skin cancer?

03:19: How can you protect your skin?

05:08: ABCDEs of Melanoma

07:40: Final thoughts

SUBSCRIBE

Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at www.acentraqio.com.

RESOURCES

BFCC-QIO Information for stakeholders: www.acentraqio.com/partners

BFCC-QIO Information for people who have Medicare: www.acentraqio.com/bene

Centers for Disease Control and Prevention (CDC) – Public health information on skin cancer basics, risk factors, sun safety, and prevention -
https://www.cdc.gov/skin-cancer/

National Cancer Institute (NCI) – Patient-oriented info on skin cancer (including melanoma), prevention, screening, treatment, and research -
https://www.cancer.gov/types/skin

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

RESUMEN
Como contratista de Medicare, Acentra Health se desempeña como la Organización para el Mejoramiento de la Calidad de la Atención Centrada en el Beneficiario y la Familia (BFCC-QIO), también conocida como BFCC-QIO. Aunque Acentra Health ofrece servicios de BFCC-QIO en 29 estados, la información general es relevante para todas las personas que tienen Medicare (incluyendo Medicare Advantage) y para quienes trabajan con personas que tienen Medicare.

Este episodio es presentado por Carla Boguslawski, MBA, MEd, BS, Gerente de Operaciones IA/QOC en Acentra Health.

En este pódcast, nuestra presentadora compartirá información sobre los servicios gratuitos disponibles a través de Acentra Health.

Para obtener más información sobre BFCC-QIO de Acentra Health, visite www.acentraqio.com.

TEMAS CLAVE
00:23: Descripción general e introducción de la presentadora
01:57: Información general sobre la Organización para el Mejoramiento de la Calidad de la Atención Centrada en el Beneficiario y la Familia (BFCC-QIO)
5:47: Proceso de apelaciones de Acentra Health
8:36: Nuevo programa de Asistencia Inmediata para el Alta Hospitalaria (IADA)
13:12: Quejas sobre la calidad de la atención y el proceso de Apoyo Inmediato
20:00: Herramienta de Estado del Caso
21:18: Resumen y reflexiones finales

SUSCRÍBASE
Suscríbase a nuestros boletines: Case Review Connections→ (Conexiones para la Revisión de Casos) y On the Healthcare Front→ (Al Frente del Cuidado de la Salud) – www.acentraqio.com/newsletters

RECURSOS
Información sobre BFCC-QIO para partes interesadas y personas con Medicare: www.acentraqio.com/bene/espanol/

Canal de YouTube - Acentra BFCC-QIO - YouTube

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. 

This episode has our Operations Manager, Carla Boguslawski, MBA, MEd, BS, and Melinda Burk, LPN, Clinical Review Nurse, discussing the options related to filing a beneficiary complaint with Acentra Health. 

For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com.

KEY TOPICS

00:21: Overview

01:42: What is a beneficiary complaint?

02:55: What is a medical record review?

03:41: What cannot be reviewed?

06:06: How to file a complaint

08:11: Final thoughts

SUBSCRIBE 

Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at www.acentraqio.com

RESOURCES

BFCC-QIO Information for stakeholders: www.acentraqio.com/partners

BFCC-QIO Information for people who have Medicare: www.acentraqio.com/bene

BFCC-QIO Information to file a complaint and to get forms and resources: www.acentraqio.com/bene/qualityofcarecomp/

Medicare – www.medicare.gov

Our address is 1650 Summit Lake Dr. Suite 102, Tallahassee, FL 32317 or by e-mail [email protected].

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. 

This episode is a conversation with our guest from Acentra Health: Dr. Angeline Brunetto, Associate Medical Director for Appeals

In this podcast, our guest will share information about what Medicare beneficiaries can expect from a visit to the emergency room.

For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com.

KEY TOPICS 

00:22: Overview and introduction

01:04: The emergency room experience

03:56: Medicare coverage

08:18: Key things to know about an emergency room visit

10:06: Tips for people with Medicare

12:03: Myths and misunderstandings

13:54: Summary and final thoughts

SUBSCRIBE 

Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at our website, www.acentraqio.com

RESOURCES

BFCC-QIO Information for stakeholders: www.acentraqio.com/partners

BFCC-QIO Information for people who have Medicare: www.acentraqio.com/bene

YouTube channel - https://www.youtube.com/@AcentraBFCCQIO

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

 As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states (visit www.acentraqio.com to see the states served), the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. 

This episode is a conversation with our guest, Crystal Strong. She is the Program Director for the State Health Insurance Assistance Program (SHIP) and the Senior Medicare Patrol (SMP) program within the South Carolina Department on Aging (SCDOA). She provides oversight and direction to the state grantees to support their work assisting Medicare beneficiaries, their families, and caregivers through outreach, counseling, and education. In this role, she is also responsible for the education and certification of the counselors/volunteers statewide. Crystal actively supports the program networks by providing training and technical assistance whenever possible. Prior to this position, she has functioned in various roles and programs since 2000 when her tenure at SCDOA began. Crystal holds a Bachelor of Science in Nursing from South Carolina State University.  

For more information about Acentra Health BFCC-QIO, please visit https://www.acentraqio.com.

KEY TOPICS 

00:21: Overview, introduction of guest, Crystal Strong

02:08: What is SHIP?

02:31: What and when is Medicare Open Enrollment?

03:03: How do SHIPs help with Medicare Open Enrollment?

03:42: Tips for Medicare Open Enrollment

04:20: Summary and final thoughts

SUBSCRIBE 

Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at https://www.acentraqio.com/newsletters

RESOURCES

BFCC-QIO Information for stakeholders: https://www.acentraqio.com/partners

BFCC-QIO Information for people who have Medicare: https://www.acentraqio.com/bene/helpline

SC Dept on Aging: https://aging.sc.gov/

Acentra Health Open Enrollment information:  https://www.acentraqio.co,/medicareopenenrollment

SHIP Information: https://www.shiphelp.org/

Medicare information: https://www.medicare.gov

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

SUMMARY
As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. 

This episode is a conversation with our guest, Dr. Angeline Brunetto, Associate Medical Director for Acentra Health. She will share information about healthy aging to commemorate Healthy Aging Month, which is the September health observance.

For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com.

KEY TOPICS

00:23: Overview, introduction of guest, Dr. Angeline Brunetto

01:46: What is healthy aging?

02:45: How to stay healthy

09:00: How to get involved in your community

10:58: How to be safe in the aging process

15:38: Final thoughts 

SUBSCRIBE

Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at www.acentraqio.com

RESOURCES

BFCC-QIO Information for stakeholders: www.acentraqio.com/partners

BFCC-QIO Information for people who have Medicare: www.acentraqio.com/bene

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs

As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare.  

This episode is a conversation with our guests, Rose Hartnett, RN, MS, Operations Director, and Trena Dodson, LPN, Appeals Manager, for Acentra Health. In this podcast, our guests will share information about our hospital discharge and skilled service termination appeals as well as our new observation appeals. 

For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com. 

KEY TOPICS 

00:24: Overview, introduction of guests, Rose Hartnett and Trena Dodson 

02:40: What are the different types of appeals? 

07:43: Explanation of the appeals process 

10:43: Examples of why appeals are filed 

12:03: What do physician reviewers look for while reviewing an appeal? 

13:54: Final thoughts  

SUBSCRIBE

Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at www.acentraqio.com.

RESOURCES 

BFCC-QIO Information for stakeholders: www.acentraqio.com/partners 

BFCC-QIO Information for people who have Medicare: www.acentraqio.com/bene 

BFCC-QIO Appeal Information - https://acentraqio.com/bene/appeal.aspx

BFCC-QIO's Case Status Tool (check appeal status) -  https://acentraqio.com/casestatus/

Music: Motivational Upbeat Corporate by RinkevichMusic  

https://soundcloud.com/rinkevichmusic 

https://protunes.net/  

Video Link: https://bit.ly/3NNqGTs 

As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states (visit www.acentraqio.com to see the states served), the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. 

This episode is a conversation with our guest, Ray Walker. He is the Divisional Director for the Medicare Assistance Program at the Oklahoma Insurance Department. Mr. Walker has a Bachelor’s Degree in Communication from the University of Oklahoma and over 20 years experience working in and around the healthcare industry, primarily in the field of insurance. He has had the privilege of speaking to groups across the state and around the country on topics ranging from genetics to team building to Medicare. He currently serves on the Advisory Committee to the State Council on Aging and the SHIP Steering Committee (State Health Insurance Assistance Program). He also serves on the Steering Committee for the Aging Our Way Oklahoma Program.  

For more information about Acentra Health BFCC-QIO, please visit https://www.acentraqio.com.

KEY TOPICS 

00:23: Overview, introduction of guest, Ray Walker

01:48: What is SHIP?

05:35: When to set up Medicare

06:45: How does SHIP help people with Medicare?

07:43: What is the process for assistance?

11:00: Do they help find financial assistance?

14:40: How is SHIP staffed?

16:27: Summary and final thoughts 

SUBSCRIBE

Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at https://www.acentraqio.com/newsletters

RESOURCES

BFCC-QIO Information for stakeholders: www.acentraqio.com/partners

BFCC-QIO Information for people who have Medicare: https://www.acentraqio.com/bene/helpline

SHIP Information –https://www.shiphelp.org/ 

Oklahoma Department of Insurance - https://www.oid.ok.gov/

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs