Respond to Medicare Beneficiary Concerns

Our review team helps ensure that people with Medicare coverage are given the healthcare they are entitled to, and that the care they receive meets nationally recognized quality standards. Federal laws control the types of reviews we conduct, as well as the methods we use to complete them. (See the Medicare Quality Improvement Organization Manual for details.)

Patients who received care in Idaho or Washington that was covered by Medicare benefits have the right to request that Qualis Health review their quality-of-care complaints and discharge appeals.

Reviews related to beneficiary's discharge appeals must be completed within tight timeframes. To facilitate our review-related communication, please help us maintain an accurate contact database by submitting any changes regarding the personnel designated as your official QIO Contact or Discharge Appeals Contact.