Quality Improvement Organization Manual (Pub. 100-10), Ch. 5 § 5035.1
Objectives of Immediate Advocacy
5035.1 – Objectives of Immediate Advocacy
(Rev. 28, Issued: 10-21-16, Effective: 10-21-16, Implementation: 10-21-16)
The objectives of Immediate Advocacy are to:
• Provide flexibility in resolving complaints in situations when the traditional Peer Review
process alone is likely not going to reach complete resolution—for example, if the
complaint includes issues that would not be documented in the medical information, or
the specific time constraints related to the complaint render the Peer Review process and
review of the medical information inappropriate.
• Increase beneficiary, practitioner, and/or provider satisfaction throughout the process by
resolving complaints in a more expeditious and effective fashion.
• Resolve complaints in a more cost-effective manner.