Quality of Care
What is a quality of care concern?A quality of care concern occurs if you have a complaint about your health care. If you feel like there was a problem with the care you received, or that you did not receive enough care, you can call Livanta to file a quality of care concern.
What are some examples of quality of care concerns?There are a number of possible quality of care concerns. Examples include:
- Receiving the wrong medicine
- Developing a hospital-acquired infection that was not treated
- Receiving incomplete or no discharge instructions
- Not receiving care timely
How do I file a quality of care concern?You or your representative may call Livanta to have a Medicare quality of care complaint form sent to you by mail. Or you can access the Medicare quality of care complaint form on our website. Please complete and sign the form and mail or fax it to Livanta at 1-844-420-6671.
What happens after I submit my complaint form?Once Livanta receives the completed form, we will:
|1.||Contact you to be sure your concerns have been correctly identified and to explain the review process|
|2.||Ask the providers involved with the care in question for the appropriate medical records|
|3.||Give all the information to an independent physician reviewer hired by Livanta to review the medical records. The independent physician reviewer will decide whether accepted standards of care were met|
If the physician reviewer identifies a quality of care concern, the provider or physician under review will have an opportunity to submit additional information to support the provided care. Shortly after the quality of care review is completed, Livanta will call you and the provider to present the physician reviewer’s findings. Livanta will mail a letter to you and the provider to describe the concerns you raised and Livanta’s review decision.