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Medical Review Activities
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South Dakota Foundation for Medical Care performs medical review activities in accordance with the CMS Quality Improvement Organizations (QIO) Statements of Work (SOW). The following documents are useful in understanding this activity.

ANNUAL MEDICAL SERVICES REVIEW REPORT
  • Annual Medical Services Review Reports


    • GENERAL REVIEW INFORMATION
  • SDFMC Medicare Review Plan for 2008-2011


    • RESOURCES FOR PHYSICIAN REVIEWERS
  • Quick Reference Guide for Physicians for Quality Review

  • Physician Reviewer Self Study Guide (PRSelf-Study0024.pdf)

  • Physician Reviewer Appeal & Grievance Form


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