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Quality Improvement Organization
Review Services

Assuring Beneficiary and Family Centered Care

As a Medicare QIO, Quality Insights is responsible for reviewing the quality and necessity of care provided to Medicare patients in our state. Specifically, we:

  • Review appeals of certain provider notices of discharge or discontinuation of services
  • Review potential cases of patient “dumping” (EMTALA)
  • Implement quality improvement activities to address concerns identified in the course of medical record review

We also provide people with Medicare an outlet to file complaints about the quality of care they receive.  Click on the links in the left hand menu of this page to learn more.

Now available for download is the current annual report. Previous years' reports are available on the Resources page.

IMPORTANT NOTICE: Quality Insights of Delaware will no longer be performing case review and appeals beginning August 1, 2014. The new Beneficiary and Family Centered QIO for the region that includes Delaware is KEPRO. For more details on this transition, please click here