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Medicare medical-record review data released
Primaris this week published its annual report of reviews for Medicare medical services in Missouri, covering all Medicare case reviews from Aug. 1, 2011 to July 31.
For nearly 30 years, Primaris has worked for the U.S. Department of Health and Human Services’ Centers for Medicare & Medicaid Services (CMS) as the Medicare Quality Improvement Organization (QIO) for Missouri.
Primaris serves Missourians with Medicare by examining concerns about their care, or by reviewing cases where patients feel services ended too soon – for example, an early discharge from a hospital. Primaris reviews Medicare-related medical records to ensure standards of quality and medical practices were upheld.
Primaris this week published its annual report of reviews for Medicare medical services in Missouri, covering all case reviews from Aug. 1, 2011 to July 31. The report provides details on almost 3,000 Medicare-related medical records reviewed in Missouri during that time period.
Among the findings:
• More than 1,000 Medicare medical records – a little more than a third of those reviewed by Primaris for the report year -- were examined to determine whether a patient was properly admitted to the hospital.
• In about 19 cases, Primaris’ review found a healthcare provider did not develop an appropriate follow-up plan for patients discharged from a hospital.
• Almost half of the reviews conducted by Primaris involved care provided in a nursing home.
A copy of the annual report can be found online at www.primaris.org/
Primaris is committed to improving the quality of health care provided to Missourians on Medicare. Primaris has qualified physicians and nurses who are available to address your healthcare concerns. For assistance, please call 1-800-MEDICARE. Missouri Medicare beneficiaries will be routed to Primaris.