tci Medicare Compliance & Reimbursement - 2015 Issue 22

Medical Reviews: Your Response Time is Now Cut in Half for Quality of Care Reviews

Why you should fax, not snail-mail, medical records to your QIO. When someone files a quality of care complaint against your organization, you’ll no longer have 30 days to send the medical record to your Quality Improvement Organization (QIO) — now, you’ll have just 14 days. This severely shortened timeframe is thanks to the recent changes to Chapter 5 of the QIOManual, which the  Centers for Medicare & Medicaid Services  (CMS) originally published in the final rule back on Nov. 15, 2012, but has now put into place. Initially set to apply to QIO scope of work...

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