QIO definition
Examples of QIO in a sentence
Note: an Enrollee may file an oral or written request for an expedited 72-hour Contractor Appeal if the Enrollee has missed the deadline for requesting the QIO review.
The QIO will make its decision within one full working day after it receives the Enrollee’s request, medical records, and any other information it needs to make its decision.
If the Enrollee asks for immediate review by the QIO, the Enrollee will be entitled to this process instead of the standard Appeals process described above.
The QIO or QIO-like entity provides quality assurance and utilization review.
Note that this does not exempt QIO information collection activities from the Quality Improvement Program’s internal policies and procedures related to information collection, which are described in Sections 12600-12670 of the QIO Manual.
If the QIO overturns the Contractor’s decision, the Contractor must pay for the remainder of the hospital stay.
This also means that, as described in the QIO Manual, a ▇▇▇'s proposed information collection activities continue to require timely submission to the QIO's Project Officer/Division of Quality Improvement for review and approval.
Case reviews that involve non-physician screening and physician review of patient medical records that are required in the QIO contract.
Mountain-Pacific Quality Health – The Quality Innovation Network-Quality Improvement Organization (QIO) 2.
Many QIO activities are specified in the QIO contract and may change with each CMS contract period.