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Emergency Department Coding & Reimbursement Alert

Kudos to the QIOs

You’ll be getting medical reviews from a new entity for 2016. CMS has proposed to switch from Medicare Administrative Contractors (MACs) to Quality Improvement Organizations (QIOs) to provide the first line medical reviews regarding questioned admissions. QIOs, private contractors charged with monitoring the quality of care provided to Medicare beneficiaries, are a good choice for first line reviews as they [...]