Quality of Care Review

Protecting People with Medicare

Are you a Medicare beneficiary or family member who has a concern about the quality of healthcare you or a loved one has received?

QSource has physicians and other healthcare experts that are paid by Medicare to check and improve the care people with Medicare receive. QSource reviews complaints about the quality of care given by: inpatient hospitals, hospital outpatient departments, hospital emergency rooms, skilled nursing facilities, home health agencies, Private Fee-for Service plans, and ambulatory surgical centers.

Follow the instructions on the forms below to describe your complaint. If you need help completing the form, call Qsource at 800-489-4633.

Complaint Form

(English version)

http://www.qsource.org/QOC/cms10287English.pdf

(Spanish Version)

http://www.qsource.org/QOC/cms10287Spanish.pdf

Contact:

Qsource
3340 Players Club Pkwy, Ste. 300
Memphis TN, 38125
800-489-4633

To file a complaint, please call 1-800-MEDICARE (800-633-4227) TTY/TTD 877-486-2048

On Aug. 1, 2014, all Tennessee beneficiary quality review case work and appeals will be conducted by the new Beneficiary and Family Centered Care (BFCC-QIO) KEPRO. These changes are part of the Centers for Medicare & Medicaid Services (CMS) Quality Improvement Organization (QIO) program transformation effort to further enhance the quality of services to Medicare beneficiaries. If your case is currently under review or in process, please be assured that every effort has been made to ensure a seamless transition for Medicare beneficiaries with no disruption in case review services.

Beginning Friday, Aug.1, 2014, Medicare beneficiaries must contact KEPRO toll-free at 1-844-430-9504 for all appeal requests and Quality of Care concerns. On that date, all Medicare beneficiary quality review case work and appeals for Tennessee will be conducted by KEPRO. To avoid processing delays and errors, please continue submitting cases and requests to Qsource through 4:30 p.m. CDT Thursday, July 31, 2014 using the current process.