Beneficiary Complaint: Preparing the Reconsideration Package

5060.2 – Beneficiary Complaint: Preparing the Reconsideration Package (Rev. 28, Issued: 10-21-16, Effective: 10-21-16, Implementation: 10-21-16) The QIO receives the package from the Reconsideration Peer Reviewer and examines it to ensure all necessary information was returned. The QIO identifies the Reconsideration Decision on the QRD Form and prepares the following: 1. Beneficiary Quality of Care Complaint – Reconsideration Determination Letter to Practitioners and Providers (See Appendix 5-5.1); and 2. Beneficiary Quality of Care Complaint: Reconsideration Determination Letter to Beneficiary (Appendix 5-5.2). NOTE: The QIO may copy the language used previously, unless substantial changes have been made.