Beneficiary Complaint: Opportunity for Discussion – Stage Three

5055 – Beneficiary Complaint: Opportunity for Discussion – Stage Three (Rev. 28, Issued: 10-21-16, Effective: 10-21-16, Implementation: 10-21-16) In accordance with §1154(a)(14) of the Act, before a QIO concludes that the quality of services does not meet professionally recognized standards of health care, the QIO must give the practitioner and/or provider reasonable notice and opportunity to discuss the concerns found.