Appeal Discharge

Appeal Discharge

Important Message for Alabama Medicare Beneficiaries

QIOs are organizations that are available to assist you when you have questions about whether you are ready for discharge from a hospital or home health agencies, whether a health care service should be ended or whether you should have been transferred from an Emergency Department to another hospital or to home. They also are available to review a quality of care concern that you or your family may have about the care that you receive from your hospital, doctor, nurse or others.

Medicare has made some changes to the program to ensure that your needs are better met by designating a special QIO just to address beneficiary and family concerns. There will be a second QIO that will work with Alabama hospitals and doctors to help them with their quality improvement activities.

The Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIO) will be the QIO that will manage all beneficiary complaints and quality of care reviews in Alabama to ensure consistency in the case review process while taking into consideration local factors important to you and your family.

Effective August 1, 2014, all Alabama beneficiary quality review case work and appeals will be conducted by the new Beneficiary and Family Centered Care (BFCC-QIO) contractor

KEPRO
Rock Run Center, Suite 100
5700 Lombardo Center Dr.
Seven Hills, OH 44131
Toll-free Beneficiary Helpline: 1-844-430-9504
TTY Number: 1-855-843-4776

These changes are part of the Centers for Medicare & Medicaid Services (CMS) Quality Improvement Organization (QIO) program transformation effort to further enhance the quality of services to Medicare beneficiaries.

If your case is currently under review or in process, please be assured that every effort has been made to ensure a seamless transition for Medicare beneficiaries with no disruption in case review services.