What are Quality Improvement Organizations (QIOs)?

September 20, 2009 by admin

Medicare contracts with a Quality Improvement Organization (QIO) (formerly known as Peer Review Organizations or PROs) in each state to monitor and improve the quality of care for people with Medicare. To help health care providers achieve quality improvement, QIOs employ doctors and other health care experts who are available to assist health care providers to monitor and improve the quality of care given to Medicare patients. QIOs review your complaints about quality of care provided by:

• Hospitals,
• Skilled nursing facilities,
• Home health agencies,
• Medicare managed care plans, and
• Ambulatory surgical centers.

Please, go to the Helpful Contacts section of Medicare's Web siteto find the phone number for the QIO - Quality Improvement Organization in your State.