BFCC-AIRR

About the BFCC AIRR Process

The Beneficiary and Family Centered Care Audit and Inte-Rater Reliability Review (BFCC-AIRR) provides expert healthcare quality improvement (QI) services for Inter-Rater Reliability (IRR) of beneficiary requested appeals and claims review, namely Part A Short Stay claims and reviews for preventable safety events to support the BFCC provisions of the Medicare Quality Improvement Organization (QIO) Program.

Inter-rater reliability refers to the reproducibility or consistency of decisions between two reviewers. The goal of IRR reviews is to ensure consistency in decision making between the QIOs and the BFCC-AIRR, thus improving consistency in beneficiary appeals and claims review disposition decisions leading to improved quality of health care for Medicare beneficiaries.

Maybe some Bullets and Links here regarding IRR?
Maybe some Bullets and Links here regarding IRR?
Maybe some Bullets and Links here regarding IRR?

Reviews for preventable patient safety events involves analyzing the results of medical record reviews to determine trends in patient safety care related to adverse events. Subsequent referrals to BFCC and Quality Innovation Network (QIN) QIOs for quality-of-care reviews and quality improvement serves to ensure that Medicare beneficiaries can exercise their right to high-quality health care.

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Maybe some Bullets and Links here regarding PS?
Maybe some Bullets and Links here regarding PS?

Addressing Your Concerns

Although BFCC-QIOs strive to provide the highest quality of service and support for Medicare Beneficiaries and their Representatives, they may sometimes fall short of your expectations. Should you wish to express concern and speak with someone regarding the quality of service or support you received from your BFCC-QIO, contact qioconcerns@cms.hhs.gov. We value your opinion and recognize the need to take account of every individual beneficiary experience. Your communication is important and helps us improve the BFCC-QIO Program and we appreciate you doing so.

Effective February 1, 2022, the Beneficiary Care Management Program (BCMP) is no longer accepting new referrals for care management services. Beneficiaries are encouraged to continue working with their respective regional Beneficiary and Family Centered Care - Quality Improvement Organization (BFCC-QIO) for assistance. For more information please visit https://qioprogram.org/locate-your-qio on how to locate the BFCC QIO that services your area. Thank you.