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Release of New Quality Improvement Organizations (QIO) Manual Chapter 5, “Quality of Care Review” by the Centers for Medicare and Medicaid Services (CMS) Complaint: Any expression of dissatisfaction to a Medicare health plan, provider, facility or Quality Improvement Organization (QIO) by an enrollee madeNote: QIO's no longer review excluded services for Medicare Administrative Contractors (MACs). Please reference the "Quality Improvement Organization Manual" ( Chapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) Subchapter F - QUALITY IMPROVEMENT ORGANIZATIONS Stay up-to-date on resources from Centers for Medicare & Medicaid Services (CMS) and Centers for Disease Control and Prevention (CDC). QIOs in Action