We are the Medicare Quality Improvement Organization, working to improve the quality of care for Medicare beneficiaries. Our site offers beneficiary and family-centered care information for providers, patients, and families. Welcome!
Medical record review is the traditional option to resolve a quality of care complaint under Medicare. This is at no cost to the beneficiary. When the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) receives a written complaint about the quality of services received by a Medicare beneficiary, the BFCC-QIO will request a copy of the medical record. A doctor of matching specialty will review the medical record. The review process could take several months to complete, during which the BFCC-QIO will keep the complainant informed of the progress of the review. When the review is complete, the BFCC-QIO notifies the complainant of the final disposition of the complaint.
When review confirms a quality concern, it is referred to the Quality Innovation Network Quality Improvement Organization (QIN-QIO) for quality improvement activities and to engage healthcare providers in making system changes to prevent a similar problem from occurring in the future.
Please fax beneficiary complaint medical records to the appropriate fax number:
|Toll-free Fax Numbers|