Transition of Responsibility for Medical Review From Quality Improvement Organizations (QIOs)
These claims processing instructions are being revised since there is a transition of responsibility for the majority of utilization review from QIOs to Medicare fiscal intermediaries and Medicare administrative contractors. Quality related and some other activities are remaining in the QIO SOW.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 07, 2008
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