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•  Medicare Case Review http://casereview.tmf.org/MedicareCaseReview/tabid/228/Default.aspx TMF, the QIO for Texas, is authorized by the Medicare program to review medical care and services provided to Medicare beneficiaries. •  Current Initiatives http://casereview.tmf.orgjavascript:window.open('http://TexasQIO.tmf.org'); •  Hospital Discharge Appeals http://casereview.tmf.org/HospitalDischargeAppeals/tabid/510/Default.aspx Medicare regulations provide Medicare beneficiaries and Medicare Advantage enrollees certain appeal rights related to financial liability.            •  Important Message from Medicare             http://casereview.tmf.org/HospitalDischargeAppeals/ImportantMessagefromMedicare/tabid/497/Default.aspx             Medicare beneficiaries who are hospital inpatients in Texas have a right to appeal to TMF for an expedited review of a discharge decision.            •  Pre-Admission and Admission HINNs             http://casereview.tmf.org/HospitalDischargeAppeals/PreAdmissionandAdmissionHINNs/tabid/498/Default.aspx             Texas hospitals are still required to send a copy of Pre-admission and Admission Hospital Initiated Notice of Non-coverage (HINN) letters to TMF within three days of when the notice is issued.            •  Hospital Requested Review (HRR)             http://casereview.tmf.org/HospitalDischargeAppeals/HospitalRequestedReviewHRR/tabid/499/Default.aspx             When a hospital determines that a fee for service Medicare beneficiary no longer needs inpatient care, but is unable to obtain the agreement of the physician, the hospital may request a QIO review. •  Expedited Appeals http://casereview.tmf.org/ExpeditedAppeals/tabid/500/Default.aspx Medicare regulations provide Fee for Service (FFS) Medicare beneficiaries and Medicare Advantage enrollees certain appeal rights related to financial liability            •  Medicare Advantage             http://casereview.tmf.org/ExpeditedAppeals/MedicareAdvantage/tabid/501/Default.aspx             Medicare Advantage enrollees must receive a notice at least two days before planned termination of Medicare coverage of their skilled nursing facility (SNF), home health agency (HHA) or comprehensive outpatient rehabilitation facility (CORF) services.            •  Medicare Fee for Service             http://casereview.tmf.org/ExpeditedAppeals/MedicareFeeforService/tabid/502/Default.aspx             Medicare enrollees must receive a notice at least two days before planned termination of coverage of their Medicare-covered comprehensive outpatient rehabilitation facility (CORF), home health agency (HHA), hospice or skilled nursing facility (SNF) services end. •  Beneficiary Complaint Review http://casereview.tmf.org/BeneficiaryComplaintReview/tabid/504/Default.aspx TMF conducts a number of mandatory case reviews including, but not limited to beneficiary complaint review. •  Review Related FAQs http://casereview.tmf.org/ReviewRelatedFAQs/tabid/506/Default.aspx Medical record review related frequently asked questions.            •  Reviewer Training             http://casereview.tmf.org/BecomeaReviewerforTMF/ReviewerTraining/tabid/1113/Default.aspx             •  Alternative Dispute Resolution http://casereview.tmf.org/AlternativeDisputeResolution/tabid/505/Default.aspx TMF offers alternative dispute resolution as an option to resolve Medicare beneficiary complaints about the medical care they receive under the Medicare program. •  TMF Appeal Contact Information http://casereview.tmf.org/TMFAppealContactInformation/tabid/732/Default.aspx Appeals will be conducted by TMF Health Quality Institute's Review & Compliance Department as part of TMF's responsibilities as the Medicare QIO for Texas.Contact TMF if you wish to file an appeal. •  Helper Files http://casereview.tmf.org/HelperFiles/tabid/661/Default.aspx Help with file types on this website, including WebEx, Word, Powerpoint, Excel and Adobe PDF.