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Educational Resources Available: Medicare's Quality Improvement Organization Program

The Medicare’s Beneficiary Family Centered Care – National Coordinating Center (BFCC-NCC), in partnership with the Centers for Medicare & Medicaid Services (CMS), has recently launched a new educational initiative to raise awareness about Medicare’s Quality Improvement Organization Program and the free services offered to ensure high quality of care.

The national education campaign aims to raise awareness about the following Medicare rights and associated services: 

(1) The right to file a quality of care complaint for any concerns related to medical care; 

(2) The right to appeal a discharge from a hospital, skilled nursing facility, home health agency or hospice; 

(3) The right to request Immediate Advocacy to resolve concerns and get assistance in navigating the healthcare system.

A Medicare Rights Educational Resources webpage created for the initiative includes the following resources:

• PowerPoint Presentation (and script) that provides an overview of Medicare’s Quality Improvement Organization Program and the services available for Medicare beneficiaries to ensure receipt of high quality, safe health care.
• Sample Medicare Rights Announcements document that provides sample messages about Medicare rights, which may be copy/pasted in newsletters, social media platforms, blogs, emails, etc.
• Frequently Asked Questions for Medicare Beneficiaries document that answers commonly asked questions regarding the appeal and complaint services offered by Medicare’s Quality Improvement Organization (QIO) Program – what services are provided, and what Medicare patients can expect when making the call to their QIO.
• Contact Form to Request a Webinar that allows centers to request a webinar presentation for your organization. The presentation provides a step-by-step guide for filing a Quality of Care Complaint, a Discharge Appeal and for requesting Immediate Advocacy.

All of the services are completely free of charge and part of the CMS Quality Improvement Organization Program.

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