Beneficiary and Family Centered Care (BFCC)-QIOs

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 (Kepro, Livanta) 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 CMS QIO Concerns Mailbox for assistance.