What are common situations that should not be referred to TrustSolutions?
Some common situations that should not be referred to TrustSolutions include: the quality of care a person on Medicare receives since these are most often addressed by the state survey agency; specific charge amounts on hospital and or outpatient claims since actual reimbursement to the provider for services is based on a set fee schedule established by CMS; and, if the services in question were not processed by TrustSolutions’ affiliated contractors, National Government Services, Wisconsin Physicians Service, or Palmetto GBA, since that situation would be out of TrustSolutions’ jurisdiction to investigate.
