Transparent Transparent QIO Program - SDFMC logo
Transparent
Whats New
Search and Site Map
Calendar of Events
Medicare Enrollee News
Patient Safety
Prevention
Protection
CareTransitions
Physician Reviewers
About Us
Contact Us
SDFMC Privacy Policy
Transparent
Transparent

Partnership for Patients
Transparent
Welcome! The South Dakota Foundation for Medical Care serves the health care community and the Medicare population as the Physician Peer Review and a Quality Improvement Organization (QIO) for South Dakota. As a member of the health care community, you will have access to the latest regulations, guidelines and health care quality improvement studies. If you are a Medicare recipient, see our Medicare Enrollee News section to explore your resources, rights and how we can help you make informed health care decisions.

What do QIOs do?

By law, the mission of the QIO Program is to improve the effectiveness, efficiency, economy, and quality of services delivered to Medicare beneficiaries. Based on this statutory charge, and CMS' Program experience, CMS identifies the core functions of the QIO Program as:

  • Improving quality of care for beneficiaries;

  • Protecting the integrity of the Medicare Trust Fund by ensuring that Medicare pays only for services and goods that are reasonable and necessary and that are provided in the most appropriate setting; and

  • Protecting beneficiaries by expeditiously addressing individual complaints, such as beneficiary complaints; provider-based notice appeals; violations of the Emergency Medical Treatment and Labor Act (EMTALA); and other related responsibilities as articulated in QIO-related law.

    Medicare beneficiaries can click on the link to find information on
    lodging beneficiary complaints,or here for their Medicare Rights.

  • thick blank line
    Transparent
    Link to Stop Medicare Fraud Transparent Link to Medicare Find and Compare
    Transparent
    Transparent
    Transparent
       Health Tip Transparent
    Transparent
    Transparent
    A flu vaccination can prevent up to 80% of deaths from influenza-related complications among the elderly, such as pneumonia and severe respiratory illness.
    Transparent
    Link to CMS Twitter
    Transparent
    CMS Twitter
    Transparent
    Link to CMS YouTube
    Transparent
    CMS YouTube
    Transparent
    Link to CMS RSSFeed
    Transparent
    CMS RSSFeed

    All information on this site is provided as a public service only and should not be relied upon as medical or legal advice. Some of the information included in this site was obtained through work performed under a contract with the Centers for Medicare & Medicaid Services, Department of Health and Human Services. SDFMC shall not be held liable for any damages arising from the use of or reliance upon information supplied herein. Any links to other organizations contained on this site are for informational purposes only and do not imply endorsement by SDFMC.

    another thick blank line
    Transparent

    Click here for a Text Only Version of the site


    © 2014 South Dakota Foundation for Medical Care, All Rights Reserved