- Publication #
- 100-10
- Title
- Quality Improvement Organization Manual
Downloads
- Chapter 1 - Background and Responsibilities [PDF, 73KB]
- Chapter 2 - Eligibility [PDF, 82KB]
- Chapter 3 - Agreements [PDF, 136KB]
- Chapter 4 - Case Review [PDF, 437KB]
- Chapter 5 - Quality of Care Review [PDF, 647KB]
- Chapter 6 - Medicare+Choice Organizations (M+COs) [PDF, 57KB]
- Chapter 7 - Denials, Reconsiderations, Appeals [PDF, 424KB]
- Chapter 8 - Infrastructure Operations Support and Data Management [PDF, 60KB]
- Chapter 9 - Sanction and Abuse Issues [PDF, 584KB]
- Chapter 10 - Confidentiality and Disclosure [PDF, 110KB]
- Chapter 11 - Hospital Payment Monitoring Program (HPMP) [PDF, 90KB]
- Chapter 12 - Communications, Outreach and Program-related Information Activities [PDF, 398KB]
- Chapter 13 - Management [PDF, 120KB]
- Chapter 14 - Hospital-Generated Data Reporting [PDF, 250KB]
- Chapter 15 - Performance Evaluation [PDF, 197KB]
- Chapter 16 - Health Care Quality Improvement Program [PDF, 89KB]
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