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Medicare Agencies and Organizations in West Virginia
Claims & billing
Benefits Coordination & Recovery Center (BCRC)
Benefits Coordination & Recovery Center (BCRC)Questions regarding — Claims & billing
Medicare Secondary Payer, and who pays first. Toll free: (855) 798-2627
Carrier
NoridianQuestions regarding — Claims & billing
Part B bills and services. Toll free: (800) 633-4227
DME MAC -- Durable Medical Equipment Medicare Administrative Contractor
CGS Administrators, LLCQuestions regarding — Claims & billing
Bills for durable medical equipment and a list of approved suppliers of this equipment. Toll free: (800) 633-4227
Fiscal Intermediary
NoridianQuestions regarding — Claims & billing
Part A bills and services, hospital care, skilled nursing care, and fraud. Toll free: (800) 633-4227
OIG (DHHS) -- Office of the Inspector General (Department of Health and Human Services)
Department of Health and Human Services - Office of Inspector GeneralQuestions regarding — Claims & billing
Reporting fraud. Toll free: (800) 447-8477
TDD: (800) 377-4950
Local Phone: (202) 619-1343
RHHI -- Regional Home Health Intermediary
Noridian Administrative ServicesQuestions regarding — Claims & billing
Home health, hospice care, and fraud. Toll free: (800) 633-4227
RRB Carrier - Railroad Retirement Board Carrier
NoridianQuestions regarding — Claims & billing
(For Railroad Retirement beneficiaries only) - Part B bills and services. Toll free: (888) 355-9165
Local Phone: (877) 288-7600
Complaints about my care or services
Accreditation Association for Ambulatory Health Care
Accreditation Association for Ambulatory Health CareQuestions regarding — Complaints about my care or services
Finding out if urgent care centers and ambulatory surgical centers are accredited or not. Local Phone: (847) 853-6060
American Association for Accreditation of Ambulatory Surgical Facilities
American Association for Accreditation of Ambulatory Surgical FacilitiesQuestions regarding — Complaints about my care or services
Finding out if an ambulatory surgical center is accredited or not. Toll free: (888) 545-5222
Local Phone: (847) 775-1970
American Board of Medical Specialties
American Board of Medical SpecialtiesQuestions regarding — Complaints about my care or services
Finding out if a doctor is board certified. Toll free: (866) 275-2267
Local Phone: (312) 436-2600
American Hospital Association
American Hospital AssociationQuestions regarding — Complaints about my care or services
Finding a voluntary list of patients' rights in a hospital. Toll free: (800) 424-4301
Local Phone: (312) 422-3000
Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO)
KePROQuestions regarding — Complaints about my care or services
Complaints about quality of care, and filing an appeal or complaint. Toll free: (844) 455-8708
Local Phone: (813) 280-8256
Center for Health Dispute Resolution (CHDR)
MAXIMUS Center for Health Dispute Resolution (CHDR)Questions regarding — Complaints about my care or services
Requesting external reviews of Medicare managed care denials. Local Phone: (585) 425-5210
College of American Pathologists
College of American PathologistsQuestions regarding — Complaints about my care or services
Finding out if the lab where your blood tests are sent is accredited or not. Toll free: (800) 323-4040
Local Phone: (847) 832-7000
ESRD -- End-Stage Renal Disease Networks
Mid-Atlantic Renal Coalition - Network 5Questions regarding — Complaints about my care or services
Where to submit a complaint about the quality of care I received from my kidney dialysis facility. Toll free: (866) 651-6272
Local Phone: (804) 320-0004
ESRD State Survey Agency
Dept of Health and Human Resources of West Virginia-Office of Health Facility Licensure and CertQuestions regarding — Complaints about my care or services
Complaints about the quality of care in dialysis facilities. Toll free: (800) 442-2888
Local Phone: (304) 558-0050
Home Health Agency
Dept of Health and Human Resources of West Virginia-Office of Health Facility Licensure and CertQuestions regarding — Complaints about my care or services
Home Health Care which is skilled nursing care and certain other health care services that you get in your home for the treatment of an illness or injury. Toll free: (800) 442-2888
Local Phone: (304) 558-0050
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)Questions regarding — Complaints about my care or services
Finding out if your health care organization is accredited or not. Local Phone: (630) 792-5800
Medicaid - Report Fraud
Department of Health and Human ResourcesQuestions regarding — Complaints about my care or services
Report Medicaid fraud and abuse. Toll free: (877) 696-6775
Local Phone: (304) 558-2278
Nursing Home State Survey Agency
Dept of Health and Human Resources of West Virginia-Office of Health Facility Licensure and CertQuestions regarding — Complaints about my care or services
Where to submit a complaint about the quality of life or quality of care inside a nursing home. Toll free: (800) 442-2888
Local Phone: (304) 558-0050
Office for Civil Rights
Office for Civil Rights of the Mid-AtlanticQuestions regarding — Complaints about my care or services
Submitting a complaint about discrimination. Local Phone: (215) 861-4441
Ombudsman
West Virginia State Health Insurance Assistance Program (WV SHIP)Questions regarding — Complaints about my care or services
Obtaining information on nursing homes or resolving problems between nursing homes and residents or their families. Toll free: (877) 987-3646
Local Phone: (304) 348-0707
Quality Innovation Network Quality Improvement Organization (QIN-QIO)
Quality Insights Quality Innovation NetworkQuestions regarding — Complaints about my care or services
Local and community level projects to improve patient safety, reduce harm, and improve clinical care. Local Phone: (304) 346-9864
Senior Medicare Patrol (SMP)
West Virginia Bureau of Senior ServicesQuestions regarding — Complaints about my care or services
Complaints about quality of care, and filing an appeal or complaint. Toll free: (855) 254-1720
General health & health conditions
Agency for Healthcare Research and Quality (AHRQ)
Agency for Healthcare Research and Quality (AHRQ)Questions regarding — General health & health conditions
Ordering brochures on Choosing a Hospital. Choosing Treatments and Choosing a Hospital. Toll free: (800) 358-9295
TDD: (888) 586-6340
American Association of Kidney Patients
American Association of Kidney PatientsQuestions regarding — General health & health conditions
Educational materials for people with kidney disease. Toll free: (800) 749-2257
Local Phone: (813) 636-8100
American Cancer Society
American Cancer SocietyQuestions regarding — General health & health conditions
Finding information on cancer. Toll free: (800) 227-2345
TDD: (866) 228-4327
American Heart Association
American Heart AssociationQuestions regarding — General health & health conditions
Finding information on heart disease. Toll free: (800) 242-8721
Local Phone: (214) 570-2000
Spanish Phone: (800) 242-8721
American Kidney Fund
American Kidney FundQuestions regarding — General health & health conditions
Financial assistance and educational materials for people with kidney disease. Toll free: (800) 638-8299
Local Phone: (301) 881-3052
Spanish Phone: (866) 300-2900
Internal Revenue Service
Internal Revenue ServiceQuestions regarding — General health & health conditions
Obtaining materials/forms for income tax filing and how Medicare Savings Accounts can affect my income taxes. Toll free: (800) 829-1040
National Cancer Institute's Cancer Information Service
National Cancer Institute's Cancer Information ServiceQuestions regarding — General health & health conditions
Information on cancer treatments, clinical trails, alternative medicine, coping with side effects, and other cancer related information. Toll free: (800) 422-6237
National Institute on Aging Information Center
National Institute on Aging Information CenterQuestions regarding — General health & health conditions
Discussing health concerns, medicines, and other issues important to older people. Toll free: (800) 222-2225
TDD: (800) 222-4225
National Kidney and Urologic Diseases Information
National Kidney and Urologic Diseases InformationQuestions regarding — General health & health conditions
Educational materials for people with kidney disease. Toll free: (800) 891-5390
Local Phone: (301) 654-4415
National Kidney Foundation, Inc.
National Kidney Foundation, Inc.Questions regarding — General health & health conditions
Support groups and educational materials for people with kidney disease. Toll free: (800) 622-9010
Local Phone: (212) 889-2210
Health care facilities & services in my area
American Self-Help Clearinghouse
American Self-Help ClearinghouseQuestions regarding — Health care facilities & services in my area
Finding specific health support groups in your area. Toll free: (800) 367-6274
Local Phone: (973) 989-1122
CHIP -- Children's Health Insurance Program
West Virginia Children's Health Insurance ProgramQuestions regarding — Health care facilities & services in my area
Health insurance programs to children whose families earn too much to be eligible for Medicaid, but not enough to purchase private insurance. Toll free: (877) 982-2447
Local Phone: (304) 558-2732
Eldercare Location
DC longterm care Ombudsman programQuestions regarding — Health care facilities & services in my area
Finding necessary and convenient services that serve the elderly in their community. Toll free: (800) 677-1116
Local Phone: (202) 434-2120
Primary Care Association
Primary Care Association of West VirginiaQuestions regarding — Health care facilities & services in my area
Finding a Federally Qualified Health Center (FQHC) closest to me to help me lower my health care costs. FQHCs include community health centers, tribal health clinics, migrant health services, and health centers for the homeless. Toll free: (877) 982-4584
Local Phone: (304) 346-0032
State Hospice Organization
Hospice Care Inc. of West VirginiaQuestions regarding — Health care facilities & services in my area
To find a hospice program in my area. Toll free: (800) 788-5480
Local Phone: (304) 529-4217
Help with my Medicare options & issues
1-800-MEDICARE
1-800-MEDICAREQuestions regarding — Help with my Medicare options & issues
General Medicare information, ordering Medicare booklets, and information about health plans. Toll free: (800) 633-4227
RRB -- Railroad Retirement Board
Railroad Retirement BoardQuestions regarding — Help with my Medicare options & issues
(For Railroad Retirement beneficiaries only) - RRB benefits, lost RRB Medicare card, address change, and enrolling in Medicare. Toll free: (877) 772-5772
SHIP -- State Health Insurance Assistance Program
West Virginia State Health Insurance Assistance Program (WV SHIP)Questions regarding — Help with my Medicare options & issues
Personalized health insurance counseling Toll free: (877) 987-4463
Local Phone: (304) 558-3317
SSA -- Social Security Administration
Social Security AdministrationQuestions regarding — Help with my Medicare options & issues
Changing my address, Medicare Part A or Part B, lost Medicare card, and Social Security benefits. Toll free: (800) 772-1213
State Department of Insurance
West Virginia Insurance CommissionQuestions regarding — Help with my Medicare options & issues
Medigap Policies Toll free: (888) 879-9842
Local Phone: (304) 558-3386
Other insurance programs
CHIP -- Insure Kids Now
Children's Health Insurance ProgramQuestions regarding — Other insurance programs
Children's Health Insurance Program Toll free: (877) 543-7669
Department of Defense
Department of DefenseQuestions regarding — Other insurance programs
Whether I qualify for military retiree health care benefits. Local Phone: (703) 571-3343
Department of Veterans Affairs
Department of Veterans AffairsQuestions regarding — Other insurance programs
VA medical benefits. Toll free: (800) 827-1000
Federal Black Lung Program
Federal Black Lung ProgramQuestions regarding — Other insurance programs
Finding out where my doctor should send the bills for the diagnosis and treatment of my black lung disease. Toll free: (800) 638-7072
HUD -- U.S. Department of Housing
U.S. Department of Housing and Urban Development (HUD)Questions regarding — Other insurance programs
Information and services about homes and communities for citizens and for HUD's current and potential home buyers. Toll free: (800) 569-4287
Local Phone: (202) 708-1112
Office of Personnel Management
Office of Personnel ManagementQuestions regarding — Other insurance programs
Claims and other issues for retired federal employees and their dependents/survivors. Toll free: (888) 767-6738
TDD: (800) 878-5707
Local Phone: (202) 606-1800
State Health Departments
West Virginia Department of Health & Human ResourcesQuestions regarding — Other insurance programs
Health based programs and services. Toll free: (888) 483-0797
Local Phone: (304) 348-3365
State Medical Assistance Office
West Virginia Department of Health & Human ResourcesQuestions regarding — Other insurance programs
Medicaid program Toll free: (800) 642-8589
Local Phone: (304) 558-1700
About West Virginia
West Virginia is a state located in the Appalachian region of the Southern United States, and is also considered to be a part of the Mid-Atlantic Southeast Region. It is bordered by Pennsylvania to the north, Maryland to the east and northeast, Virginia to the southeast, Kentucky to the southwest, and Ohio to the northwest. West Virginia is the 41st largest state by area, and is ranked 38th in population. The capital and largest city is Charleston.
West Virginia became a state following the Wheeling Conventions of 1861, at the start of the American Civil War. Delegates from the Unionist counties of northwestern Virginia decided to break away from Virginia, which also included secessionist counties in the new state. West Virginia was admitted to the Union on June 20, 1863, and was a key border state during the war. It was the only state to form by separating from a Confederate state, the first to separate from any state since Maine separated from Massachusetts, and was one of two states admitted to the Union during the American Civil War (the other being Nevada). While a portion of its residents held slaves, most of the residents were yeomen farmers, and the delegates provided for gradual abolition of slavery in the new state Constitution.
The Census Bureau and the Association of American Geographers classify West Virginia as part of the Southern United States. However, the Bureau of Labor Statistics classifies the state as a part of the Mid-Atlantic region.[8] The northern panhandle extends adjacent to Pennsylvania and Ohio, with the West Virginia cities of Wheeling and Weirton just across the border from the Pittsburgh metropolitan area, while Bluefield is less than 70 miles (110 km) from North Carolina. Huntington in the southwest is close to the states of Ohio and Kentucky, while Martinsburg and Harpers Ferry in the Eastern Panhandle region are considered part of the Washington metropolitan area, in between the states of Maryland and Virginia. The unique position of West Virginia means that it is often included in several U.S. geographical regions, including the Mid-Atlantic, the Upland South, and the Southeastern United States. It is the only state that is entirely within the area served by the Appalachian Regional Commission; the area is commonly defined as "Appalachia".
The state is noted for its mountains and rolling hills, its historically significant logging and coal mining industries, and its political and labor history. It is also known for a wide range of outdoor recreational opportunities, including skiing, whitewater rafting, fishing, hiking, backpacking, mountain biking, rock climbing, and hunting.
Source: Wikipedia