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2004-2005 Regulatory/Advisory Initiatives

2003 Regulatory/Advisory Initiatives

2002 Regulatory/Advisory Initiatives

2001 Regulatory/Advisory Initiatives

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2001 Regulatory/Advisory Initiatives


2001 Regulatory/Advisory Initiatives

Proposed Changes to Hospital Outpatient Payment System and 2002 Payment Rates for Medicare - October 3, 2001

AHQA Comments: AHQA is concerned that the proposed rule will interfere with an existing multiyear initiative at the Centers for Medicare and Medicaid Services (CMS) designed to improve the quality of care provided to Medicare beneficiaries. CMS has already invested significant resources to increase the frequency with which mammography services are utilized by Medicare beneficiaries. AHQA is opposed to any rule that reduces ready access to these vital and demonstrably underutilized mammography services. More…

Comments to Inform the HHS Initiative on Rural Communities -
September 27, 2001

AHQA Comments: Two well-respected federal organizations recently recognized that the quality of care in rural areas could be improved, just as it can in urban areas, but that appropriate resources and tools are necessary. They both recommend utilizing the QIOs to provide the necessary technical assistance and expertise to improve care in rural facilities. More…

AHQA Letter to CMS Regarding the Designation of PRO-Like Entities,
September 13, 2001
Letter of September 13, 2001

Statement to CMS on Use of Physician Query Forms — July 27, 2001

AHQA Comments: AHQA has serious reservations about any guidance that would limit the use of properly designed query forms or their acceptance as a component of the medical record. The query form has long been considered a useful communication tool, but not a substitute for clear and accurate documentation. More…

AHQA Comments to CMS on Evaluation Criteria and Standards for PRO 6th Round Contract (June 25, 2001)

AHQA Letter to CMS on Uses of MPSMS Data (May 10, 2001)

AHQA Response to the Strategic Framework Board of the National Quality Forum May 2001

Comments on Federal Patient Data Privacy Rules - March 2001

AHQA Comments: In this regulation, the primary question for external organizations like QIOs that rely on provider data for data analysis is: under what circumstances are covered entities allowed to give QIOs protected information without individual authorizations? This letter includes recommendations that would clarify the circumstances under which QIO work with government agencies should be considered oversight, and the appropriate parameters for QIOs when considered business associates with covered entities. More…

Comments on Proposed Improvements to the Medicare+Choice Appeals and Grievance Procedures - March 2001

AHQA Comments: Instead of designating that QIOs should extend their work in hospitals to other settings, the regulation is silent on what type of entity should be qualified to become an Independent Review Entity (IRE). QIOs already interact on a daily basis with families that question whether the timing of a provider discharge affecting a loved one is appropriate. Relying on entities other than QIOs will be confusing to beneficiaries and providers…and deprives beneficiaries of protections established in the carefully crafted federal QIO statute. More…

Comments on the Medicare Beneficiary Complaint Process - March 2001

AHQA Comments: AHQA recommends a thorough restructuring of the complaint program. We have concluded that CMS and its QIO contractors can and should do more to make the beneficiary complaint program better known, as well as more responsive to the consumer. While some deficiencies in the current program can be addressed directly by QIOs, the resources currently invested in this program by the federal government are insufficient to respond to many challenges. More…

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