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Category Archives: Long Term Care Blog

Announcement from CMS – National Provider Call: QIO Program Transition

You are invited to join the Centers for Medicare and Medicaid Services (CMS) – Center for Clinical Standards and Quality, for a discussion on the restructuring of Quality Improvement (QIO) Program effective August 1, 2014.  We recognize the unique impact of the changes on the provider community as it relates to areas such as provider’s procedures for notifying beneficiaries regarding rights to appeals of discharge determinations, addressing quality of care concerns, provision of medical records, working on quality improvement initiatives and receiving technical assistance on value and incentive programs.  The purpose of this meeting is to share an overview of the QIO Program changes, provide an update on the transition process, discuss its impact on the provider community, share critical resources, and to answer any questions.

We have scheduled the National Provider Call for Wednesday, July 23, 2014 from 11:00 am – 12:00 pm EDT (10:00 am – 11:00 am CDT) via webinar.

Here is how you can join:

Audio:  Telephone Number: 1-877-267-1577

MeetingPlace ID: 993 182 797 (This meeting does not require a password.)

Webinar:  https://webinar.cms.hhs.gov/qio-provider-call/

Users without an Adobe Connect login may sign-in as a guest.  Pre-registration is not required.  This session will be recorded.  Thank you for your participation in this call to advance health care quality for Medicare beneficiaries.  We look forward to hearing from you.

NEW QIPMO Video

The Quality Improvement Program for Missouri (QIPMO) is a cooperative project between the Missouri Department of Health and Senior Services and the MU Sinclair School of Nursing.  Wonder what QIPMO is all about?  For a quick and informative video click here or view on YouTube at http://youtu.be/qnh-YZ1uUj0.

INFORMAL DISPUTE RESOLUTION (IDR) – New Fax Number

Please note Primaris has a new fax number, (573) 777-1016, for receipt of all IDR related information such as intake forms, exhibits, and formal requests. The updated intake form with the revised fax number is available online at http://primaris.org/services/informal-dispute-resolution-2.

Ghostbusters and QIO Program Turn 30: Who You Gonna Call for Medicare Concerns?

Primaris will no longer handle Missouri Medicare case reviews beginning August 1

Thirty years ago, Ghostbusters made the question “Who you gonna call” go viral long before the days of social media.

1984 was the same year Quality Improvement Organizations (QIOs), like Missouri-based Primaris, began answering the call of Medicare patients.  Primaris serves Missourians with Medicare by examining concerns about their care, or by reviewing cases where patients feel services ended too soon – for example, an early discharge from a hospital.

Beginning August 1, 2014, Missourian patients and providers will no longer call health care quality-improvement consulting company Primaris.  All current and future beneficiary quality review case work and appeals will be conducted by KEPRO, located in Seven Hills, Ohio.

For more information, please visit Primaris at http://primaris.org/quality-today/ghostbusters-and-qio-program-turn-30-who-you-gonna-call-for-medicare-concerns.

The DON Institute: Essential Tools for the Director of Nursing in Long Term Care

September 23 – 24, 2014: Get ready for an energetic and eye-opening conference that will get you charged up!  Tips you can take back to your home and implement right away will be shared.  Whether you are a new DON or a seasoned one, this conference is right for you.  We will give you the confidence, knowledge, direction and motivation needed to help you better perform your important role as a DON.  Please view the brochure here:  MLN DON Institute 2014, or visit the Missouri League for Nursing (MLN) at www.mlnmonursing.org/DON%20Conference.