Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO) help Medicare beneficiaries with their concerns about the quality of care they receive from a Medicare provider. The Quality Improvement Organization (QIO) is a group of health quality experts, providers, and consumers organized to improve the quality of care delivered to people with Medicare.

The BFCC-QIOs, Acentra Health (formerly Kepro) and Commence Health, review complaints and quality of care, and help to improve the effectiveness, efficiency, economy and quality of services provided to people with Medicare. BFCC-QIOs provide services to help with complaints and quality of care reviews.

You can also contact your BFCC-QIO for help in filing an appeal in a hospital or non-hospital setting if you think your coverage is ending too soon (for example, if your hospital says that you must be discharged and you disagree). You have the right to a fast appeal if you think your Medicare-covered services are ending too soon.

Contact your BFCC-QIO to ask questions or report concerns about the quality of care you received for a Medicare-covered service (and/or if you are not satisfied with the way your provider has responded to your concern). For more information or help, contact your BFCC-QIO. Also, if you have any issues or further concerns after filing a quality of care complaint or a discharge appeal with your designated QIO, please contact the BFCC-QIO Concerns Mailbox for assistance.