As the Medicare Quality Improvement Organization, Oklahoma Foundation for Medical Quality reviews health care quality concerns and looks for ways to help Oklahoma providers improve care. Voicing your concerns is an important part of making health care better for everyone.
The goals of our Beneficiary Complaint Response Program are:
- To help resolve your concern to the best of our ability within the guidelines established for us by Congress.
- To find opportunities to improve health care and prevent future medical errors for you and other beneficiaries.
How it Works:
If you have a quality of care complaint, call 1-800-MEDICARE. After an initial screening, you will be directed to Oklahoma Foundation for Medical Quality toll-free at (800) 522-3414 Monday through Friday from 8:00 a.m. through 4:30 p.m. Central Standard Time. Our team of local experts will review your written complaint along with a copy of your complete medical record. Our review asks:
- Did your care meet medically acceptable standards,
- Was your care medically necessary, and
- Was your care delivered in the most appropriate setting?
When we find clinical quality issues, we give health care providers education and feedback to help them improve.
The Medicare Beneficiary Complaint Response Program offers two options for resolving a complaint:
Medical Record Review
Mediation
For more information:
Click to see the Centers for Medicare and Medicaid Services website.
Download our frequently asked questions document. (.pdf)