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Hospital groups detail QIO contractor concerns in letter to CMS

August 22, 2014

The transition to two new contractors for Quality Improvement Organization Beneficiary and Family Centered Care “is not working as it should for patients and hospitals, and will require ongoing leadership attention until it is working well,” the AHA and Federation of American Hospitals told the Centers for Medicare & Medicaid Services today. The letter highlights challenges that patients and hospitals have faced with the BFCC QIOs processing appeals of hospital discharges. It documents long wait times for patients and hospital staff trying to get through to the QIO, miscommunications and missteps in dealing with appeals, and other issues.