Quality Improvement Organization Manual (Pub. 100-10), Ch. 5 § 5045
Beneficiary Complaint: Preparing the Beneficiary Complaint Folder
5045 – Beneficiary Complaint: Preparing the Beneficiary Complaint Folder
(Rev. 28, Issued: 10-21-16, Effective: 10-21-16, Implementation: 10-21-16)
The QIO is responsible for preparing the official Beneficiary Complaint File for maintenance at
the QIO, either by hard copy or via the CMS-designated review system document storage, if and
when available. CMS expects that the QIO will perform this function. A duplicate hard copy of
the file or access to an approved secure electronic system, when available and approved by
CMS, may be required for use by an off-site Peer Reviewer. (See §5050.3 for information related
to the Peer Review process.)(See §5045.4 for more detailed information about the content and
organization of the folder.)