As a contractor for Medicare, Acentra Health serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Acentra Health provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. 

This episode has our Operations Manager, Carla Boguslawski, MBA, MEd, BS, and Melinda Burk, LPN, Clinical Review Nurse, discussing the options related to filing a beneficiary complaint with Acentra Health. 

For more information about Acentra Health BFCC-QIO, please visit www.acentraqio.com.

KEY TOPICS

00:21: Overview

01:42: What is a beneficiary complaint?

02:55: What is a medical record review?

03:41: What cannot be reviewed?

06:06: How to file a complaint

08:11: Final thoughts

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Subscribe to our newsletters: Case Review Connections, On the Healthcare Front at www.acentraqio.com

RESOURCES

BFCC-QIO Information for stakeholders: www.acentraqio.com/partners

BFCC-QIO Information for people who have Medicare: www.acentraqio.com/bene

BFCC-QIO Information to file a complaint and to get forms and resources: www.acentraqio.com/bene/qualityofcarecomp/

Medicare – www.medicare.gov

Our address is 1650 Summit Lake Dr. Suite 102, Tallahassee, FL 32317 or by e-mail [email protected].

Music: Motivational Upbeat Corporate by RinkevichMusic 

https://soundcloud.com/rinkevichmusic

https://protunes.net/

Video Link: https://bit.ly/3NNqGTs