People with Medicare have guaranteed rights, including the right to quality health care and the right to appeal some decisions about health care coverage. As the Quality Improvement Organization, contracted with the Centers for Medicare & Medicaid Services (CMS), Oklahoma Foundation for Medical Quality (OFMQ) helps ensure health care providers deliver the best possible medical care and that beneficiaries receive the appropriate care they are entitled to.
Our job includes reviewing concerns regarding care by a Medicare provider, such as a doctor, a hospital, an emergency room, a hospital outpatient department, a hospice or home health agency, a skilled nuring facility, an ambulatory surgery center or a health maintenance organization (HMO).
We also process appeals about termination of service and coverage decisions while a patient remains in the hospital, skilled nursing facility, rehabilitation unit, home health or hospice agency. If you believe your services by a Medicare provider are being terminated prematurely, call OFMQ at 1-800-522-3414.
For More Information:
Concerned about the quality of your health care? These brochures will help you understand what you can do.
What can your Quality Improvement Organization do for you?
Click here to download brochure. (link to medicare.gov)
Frequently asked questions and answers for beneficiaries with health care quality concerns.
Click here to download brochure. (.pdf)
Phone numbers and contact information for community and government resources for seniors.
Click here to download important resources. (.pdf)