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Medicare Consumers | Appeals | Compare Care | Complaints | FAQ's | Mediation | Rights

Quality of Care Complaints Overview


If you are a Medicare beneficiary and concerned with the quality of care you received, you can call 1-800-MEDICARE (1-800-633-4227). A trained representative will listen to your concerns and provide you with the information you need to resolve your complaint.

Examples of quality of care concerns that CIMRO of Nebraska can assist with include:

  • Wrong medication given or overdose of medication

  • Unnecessary surgery or diagnostic procedure performed

  • Surgery performed on the wrong part of your body

  • Delay in service affecting your health outcome

  • Inadequate care or treatment by any Medicare hospital or doctor

  • Early or premature discharge from care

  • Change in condition that was not treated or diagnosed

  • Inadequate discharge instructions or follow-up

  • Situations where you believe harm occurred

A CIMRO of Nebraska Beneficiary Protection Specialist will assist you in putting your complaint/s in writing and will keep you informed throughout the case review process. You may also click on the document links below to download a complaint form and mail it to CIMRO of Nebraska. Please be advised that the process can take four to six months to resolve.

Physician reviewers, licensed in the state of Nebraska, perform the review of your medical record. The physician reviewer’s initial findings are shared with the provider/facility allowing them to comment. Once the quality of care review is completed, a CIMRO of Nebraska Beneficiary Protection Specialist will provide you with the results of the review.

The quality of healthcare you receive is important to us. CIMRO of Nebraska works with healthcare providers across the state to improve healthcare for Medicare beneficiaries. For more information about these programs, visit our Provider Section of the Web site.

 

Complaints Documents and Forms


Your quality of care complaint may best be resolved through the process of Mediation; an alternative that involves talking directly with your doctor or the facility.
TypeNameDescriptionModifiedFile Size
IconAlternative Resources for Complaint Resolution2/12/2007 10:40 AM22 KB
 

Complaints Links


URL
Find the QIO in your state
NHHSS Health Care Facilities and Services Complaints