Healthcare Provider Contact Forms
To comply with Medicare guidelines, our medical reviews must be completed within tight timeframes. In addition, we often distribute important Medicare-related announcements to, or request Medicare claims-related information from, healthcare facilities.
It is important that our contact database is kept up to date.
Please help eQHealth Solutions maintain accurate records by informing us of any changes regarding the personnel designated as your official QIO Contact or Discharge Appeals Contacts. Simply download the appropriate form, make the necessary updates, and email it back to us. (Instructions on how to complete the forms, sign and email are included at the end of each form.)
For more provider information about Beneficiary & Family Centered Care please refer to this document:
Healthcare Associated Infections Toolkit
Hospital Inpatient Quality Reporting & Hospital Outpatient Quality Reporting
Medicare Hospital Value-Based Purchasing Program
Hospital Success Stories
2011 Louisiana Quality Summit & Awards Wrap-up
PLUS Award Winners
This Web site is produced by eQHealth Solutions, the Quality Improvement Organization (QIO) for Louisiana,
under contract 500-99-LA02
with the Centers for Medicare & Medicaid Services (CMS). The contents presented do not necessarily reflect CMS policy.
Emergency Operations Information
If you experience any problems with this site, please notify us by email. eQHealth Solutions © 2002-2011
8591 United Plaza Boulevard, Suite 270, Baton Rouge, Louisiana 70809 -
(225) 926-6353
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