The CMS is proposing that healthcare providers and suppliers give Medicare beneficiaries written notice about their right to contact a Medicare quality improvement organization with concerns about the quality of their care.
CMS proposes wider QIO notification rule
Currently, only Medicare beneficiaries admitted to hospitals as inpatients are required to receive information about contacting their state QIO about quality of care. But a new proposed rule from the CMS (PDF) would require that in order to participate in the Medicare program, providers and suppliers would have to inform beneficiaries of their right to complain, and also how to contact their local QIO. This rule would apply to clinics, rehabilitation agencies, critical access hospitals, hospices, home health agencies, long-term care facilities, ambulatory surgery centers, portable X-ray services, rural health clinics and federally qualified health centers.
According to the CMS, QIOs are located in all 50 states, Washington, D.C., Puerto Rico and the U.S. Virgin Islands. Professionals at QIOs are trained to review medical care and help beneficiaries with complaints about the quality of care they receive.
The CMS will accept comments on the proposed rule until April 3.
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