CHA News Article

Livanta Is New QIO for California

The Centers for Medicare & Medicaid Services (CMS) has awarded Livanta LLC, located in Annapolis Junction, MD, the Beneficiary and Family Centered Care Quality Improvement Organization (QIO) contract for California. Beginning Aug. 1, Livanta assumed responsibility for conducting case review functions such as complaint reviews, quality of care reviews, discharge appeals, higher weighted diagnostic related group requests and EMTALA reviews.

Hospitals are required to establish a Memorandum of Agreement (MOA) with Livanta to transmit the protected health information needed to conduct care/discharge reviews. The hospital or the system may establish the MOA. MOAs were due Aug. 31. Beginning this week, Livanta will contact hospitals that do not have an MOA on file.

CMS requires discharge appeals to be reviewed within 24-48 hours of the QIO receiving the medical record. CHA understands there were some delays in receiving appeals during the month of August. Livanta has increased staffing to ensure it can meet this requirement and has established a separate telephone extension for providers to inquire about the status of an appeal — (877) 588-1123, ext. 4. If hospitals have general questions not related to a specific case, they can call the same toll-free number and choose ext. 3 to speak with Kym Roundtree, Livanta’s communications lead.

For additional information about the QIO program, including the MOA, visit http://bfccqioarea5.com/provider.html.

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