Practitioner/Provider Consent to Participate in Post-Review Advocacy

5065.3 – Practitioner/Provider Consent to Participate in Post-Review Advocacy (Rev. 28, Issued: 10-21-16, Effective: 10-21-16, Implementation: 10-21-16) Immediately upon obtaining the beneficiary’s oral consent to participate in Post-Review Advocacy, the practitioner/provider should be contacted to obtain oral consent to participate. The QIO should ensure the practitioner/provider has received notice of the resolution of the original complaint and the beneficiary’s desire to continue pursuing resolution of the complaint through Post-Review Advocacy. The QIO should convey sufficient information about the nature of the continuing complaint to enable the practitioner/provider to make an informed decision about agreeing to participate in Post-Review Advocacy. Upon obtaining the practitioner/provider’s oral consent to participate in Post-Review Advocacy, the QIO should follow the Post-Review Advocacy procedures in §5065.4 to resolve the concerns. If the practitioner and/or provider decide not to participate in the Post-Review Advocacy process, the QIO should immediately contact the beneficiary and inform him/her of the practitioner and/or provider’s decision not to participate. The QIO should inform the beneficiary that the QIO’s review of the matter has ended.