What will happen to my doctor if my QIO finds that the care I got didn't meet professionally recognized standards?

September 20, 2009 by admin

The purpose of the QIO review is to help doctors and health care providers improve the future care they give to people with Medicare. The purpose isn't to punish the doctor or provider. When the QIO reviews a complaint, it takes steps to find out what caused the complaint to prevent it from happening again. The QIO may:

• Educate the doctor or provider on ways they can improve.
• Help the doctor or provider to develop a plan to improve future care.
• Send the QIO's concerns to the proper state agency.
• Examine more medical records to see if there are other concerns.