Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO)
A Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) is a CMS contractor that reviews Medicare beneficiary complaints about quality of care and handles discharge and service-termination appeals for hospitals, skilled nursing facilities, home health agencies, and hospices. It is the successor structure to the earlier state-based QIO complaint function.
Definition
A Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) is a CMS contractor that reviews Medicare beneficiary complaints about quality of care and handles discharge and service-termination appeals for hospitals, skilled nursing facilities, home health agencies, and hospices. It is the successor structure to the earlier state-based QIO complaint function.
Why it matters
Home health and other post-acute providers interact with the BFCC-QIO on fast-track discharge appeals, so knowing its role and timelines is essential to protecting both patients and the agency.
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