There are times when NSM may provide either charged or free upgrades to clients. In doing so, it is important that all employees understand the compliant parameters and process in which upgrades are managed and understand specific payer requirements regarding ability or inability to provide an upgrade in order to set appropriate expectations for our clients. With this in mind, be sure to check out this Quality - Training – Improvement - Process (Q-Tip) Corner article on Supplier and Client Paid Upgrades for Medicare as well as the Medicare Upgrade Guideline Policy F-300 on WNSM.