CMS Rule Would Require Medicare Providers to Give Written Notice About Quality of Care Complaints

CMS recently issued a proposed rule requiring most Medicare-participating providers to give beneficiaries written notice about their right to contact a Medicare Quality Improvement Organization if they have quality concerns about the care they received through Medicare, according to an Ezine Mark report.

Currently, the only Medicare beneficiaries who must receive information about QIO are those admitted to hospitals as inpatients, according to the report. The new rule would require providers to inform Medicare beneficiaries of their right to complain, as well as the process for filing a complaint.

CMS contracts with a QIO in all 50 states and the District of Columbia. QIOs are usually private, non-profit organizations staffed by physicians and healthcare professionals who are trained to review medical care and help Medicare beneficiaries file complaints.

The QIO Program is currently administered through 53 contracts with 41 independent organizations.

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