• Skip to main content
  • Skip to primary sidebar
  • Skip to footer
  • About Us
    • Our Attorneys
    • Our Staff
      • Sheila Chavez
      • Marin Gorman
    • Mission Statement
    • Community Service
    • Charities We Support
    • Secret Settlements – Our Stand
    • Patrick Malone & Associates Offers Scholarship to Law Students for Representing Real People
  • Attorneys
    • Patrick Malone
    • Daniel C. Scialpi
    • Alfred Clarke
    • Heather J. Kelly
    • Aaron M. Levine, Of Counsel
    • Peter R. Masciola, Of Counsel
  • Focus Areas
    • Medical Malpractice
      • Hospital Errors
      • Cancer Misdiagnosis
      • Diabetes
      • Kaiser HMO Malpractice
      • Military Malpractice
      • Hospital Security Misconduct
    • Brain and Spinal Cord Injuries
      • Brain Injuries From Medical Care
      • Lead Poisoning
      • Traumatic Brain Injury (TBI)
      • TBI Long-Term Care & Rehabilitation
    • Baby & Child Injuries
      • Birth Injuries
      • Infant/Child Brain Injuries
      • Shaken Baby Syndrome
      • Pediatric Anesthesia Errors
      • Jaundice/Kernicterus
      • Bacterial Meningitis
    • Sex Abuse of Children and Youths
      • Sexual Abuse Claims in Washington D.C.
    • Auto, Truck, and Motorcycle Accidents
      • Car Accidents
        • Maryland Car Accidents
        • Virginia Car Accidents
      • Truck Accidents
      • Motorcycle Accidents
      • Pedestrian Accidents
      • Bicycle Accidents
      • Train Accidents
    • Defective & Dangerous Products
    • Dangerous Drugs
      • Carbon Monoxide Poisoning
    • Nursing Home Neglect and Abuse
    • Consumer Rights
    • Accounting and Legal Malpractice
      • How To Sue Your Lawyer For Malpractice
      • Common Legal Malpractice Claims
      • Damages For Legal Malpractice
      • Missing The Deadline For A Lawsuit
  • Success
    • Verdicts & Settlements
    • What Our Clients Say
    • True Stories
  • Publications
  • Resources
    • Frequently Asked Questions
    • Steps in the Legal Process
    • The Jury Trial System
    • Legal Deadlines for Filing Your Personal Injury Lawsuit
    • Better Health Care Newsletter from Patrick Malone
    • Sign Up for Our Free Newsletter on Getting Better Health Care
    • Free Fact Kit for Injury Victims
    • Tips for Patient Safety and Better Health Care
    • Health Care Advocates’ Power Kit
    • For Attorneys
    • More Legal Resources
    • Fellow Inner Circle Members
    • DC Hospital Ratings Map
    • Motor Vehicle Accident Blog
    • Washington D.C. Bike Map
    • Commute Risk Calculator
  • Patient Safety Blog
    • ProtectPatientsBlog.com
  • Malpractice A-Z
  • Contact Us

Patrick Malone Law

Medical Malpractice & Personal Injury Law Firm | Patrick Malone Law

CALL US TODAY:

202-742-1500
888-625-6635

Are You A Lawyer Seeking Co-Counsel ?
  • About Us
    • Our Attorneys
    • Our Staff
      • Sheila Chavez
      • Marin Gorman
    • Mission Statement
    • Community Service
    • Charities We Support
    • Secret Settlements – Our Stand
    • Patrick Malone & Associates Offers Scholarship to Law Students for Representing Real People
  • Attorneys
    • Patrick Malone
    • Daniel C. Scialpi
    • Alfred Clarke
    • Heather J. Kelly
    • Aaron M. Levine, Of Counsel
    • Peter R. Masciola, Of Counsel
  • Focus Areas
    • Medical Malpractice
      • Hospital Errors
      • Cancer Misdiagnosis
      • Diabetes
      • Kaiser HMO Malpractice
      • Military Malpractice
      • Hospital Security Misconduct
    • Brain and Spinal Cord Injuries
      • Brain Injuries From Medical Care
      • Lead Poisoning
      • Traumatic Brain Injury (TBI)
      • TBI Long-Term Care & Rehabilitation
    • Baby & Child Injuries
      • Birth Injuries
      • Infant/Child Brain Injuries
      • Shaken Baby Syndrome
      • Pediatric Anesthesia Errors
      • Jaundice/Kernicterus
      • Bacterial Meningitis
    • Sex Abuse of Children and Youths
      • Sexual Abuse Claims in Washington D.C.
    • Auto, Truck, and Motorcycle Accidents
      • Car Accidents
        • Maryland Car Accidents
        • Virginia Car Accidents
      • Truck Accidents
      • Motorcycle Accidents
      • Pedestrian Accidents
      • Bicycle Accidents
      • Train Accidents
    • Defective & Dangerous Products
    • Dangerous Drugs
      • Carbon Monoxide Poisoning
    • Nursing Home Neglect and Abuse
    • Consumer Rights
    • Accounting and Legal Malpractice
      • How To Sue Your Lawyer For Malpractice
      • Common Legal Malpractice Claims
      • Damages For Legal Malpractice
      • Missing The Deadline For A Lawsuit
  • Success
    • Verdicts & Settlements
    • What Our Clients Say
    • True Stories
  • Publications
  • Resources
    • Frequently Asked Questions
    • Steps in the Legal Process
    • The Jury Trial System
    • Legal Deadlines for Filing Your Personal Injury Lawsuit
    • Better Health Care Newsletter from Patrick Malone
    • Sign Up for Our Free Newsletter on Getting Better Health Care
    • Free Fact Kit for Injury Victims
    • Tips for Patient Safety and Better Health Care
    • Health Care Advocates’ Power Kit
    • For Attorneys
    • More Legal Resources
    • Fellow Inner Circle Members
    • DC Hospital Ratings Map
    • Motor Vehicle Accident Blog
    • Washington D.C. Bike Map
    • Commute Risk Calculator
  • Patient Safety Blog
    • ProtectPatientsBlog.com
  • Malpractice A-Z
  • Contact Us
Call
Contact
Blog
You are here: Home / Useful Information / Health Care Advocates’ Power Kit / Health Care Advocates’ Power Kit: How to Complain to Medicare about hospital or nursing home care in Maryland, Virginia or the District of Columbia

Health Care Advocates’ Power Kit: How to Complain to Medicare about hospital or nursing home care in Maryland, Virginia or the District of Columbia

For nursing home care ONLY (not hospital care), every jurisdiction has an ombudsman who can intervene on your behalf to try to cure any complaint about quality of care.  You can get a list of ombudsman for your jurisdiction by clicking here and scrolling to your state. This link goes to the Consumer Voice (formerly NCCNHR), a consumer advocacy group for quality long-term care.

For both nursing home and hospital care: If the patient with the quality of care issue is on Medicare, you can get the Medicare QIO (Quality Improvement Organization) to do an investigation. A Medicare beneficiary, or someone acting on the beneficiary’s behalf, must file a written complaint. The subject of the complaint has to concern “the quality of services … not meeting professionally recognized standards of health care.” (The statute is 42 U.S.C. § 1320c-3(a)(14).)

Thanks to a lawsuit brought against the federal government by Public Citizen, you have a right to learn the results of any investigation done by a QIO. The Court of Appeals for the D.C. Circuit ruled that: “At a minimum, this means that the [QIO] must disclose its determination as to whether the quality of the services that the recipient received met ‘professionally recognized standards of health care.’” Public Citizen, Inc. v. Department of Health and Human Services, 332 F.3d 654 (D.C. Cir. 2003).

If you are in Maryland, Virginia or the District of Columbia, your complaints all go to the same place, a Medicare contractor called KePro. Here is KePro’s website page which discusses how to make quality of care complaints: https://www.keproqio.com/bene/qualityofcarecomp.aspx.  This page gives examples of poor quality care and informs Medicare beneficiaries that KePro can help prepare a written complaint and act as translator for beneficiaries who don’t speak English.

Here is the KePro “helpline” for D.C., Maryland and Virginia residents:

Beneficiary Helpline
Toll-free: 844-455-8708
Toll: 813-280-8256
Fax: 844-834-7129
Address: 5201 West Kennedy Boulevard, Suite 900
Tampa, Florida 33609

Here is the official information from the federal Medicare agency – which is called CMS, for Center for Medicare and Medicaid Services – on filling out and filing a quality of care complaint. https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/cms10287.pdf

Consult with an Experienced Malpractice Attorney

If you believe you or a family member has been seriously injured from medical malpractice, medical error, or neglect by a doctor, hospital, nurse, clinic, nursing home or other health care provider, you may want to click here to contact an experienced medical malpractice attorney for a free evaluation of your case. You can also email us at info@patrickmalonelaw.com or call us at 202-742-1500 or 888-625-6635 toll-free. We will respond within 24 hours. There is no charge for our initial consultation.

Primary Sidebar

Contact Us

Focus Areas

  • Medical Malpractice
  • Birth Injury
  • Auto, Truck & Motorcycle Accidents
  • Brain & Spinal Cord Injuries
  • Defective Products
  • Dangerous Drugs
  • Nursing Home Neglect & Abuse
  • Consumer Rights
  • Accounting & Legal Malpractice

Resources

The Lawsuit Process
  • Free Fact Kit for injury victims
  • FAQs about injuries & the legal process
  • Steps in the legal process
  • Legal deadlines for your lawsuit
  • What to expect from your “independent” medical examination
  • The jury trial system
Medical Resources
  • Patient Safety Tips
  • Health Care Advocates’ Power Kit
  • DC Hospital Rating Map
  • Patient Safety Newsletter
    from Patrick Malone
For Attorneys
  • Books for Attorneys
  • Expert Witness Resources
  • Articles
  • Briefs
  • Closing Arguments in Trial
  • Medical Society Statements on Expert Witness Testimony
  • Cross Examination Transcripts

What Our Clients Say

  • Client reviews on
  • Client reviews on
View more

Patient Safety Blog by Patrick Malone & Associates

  • Communication
  • Medical Malpractice
  • Medications
  • Hospitals
  • Preventive Care
  • Research Studies
  • Accessibility of Health Care
  • Disclosure
  • Primary Care
  • Product Safety
View More Topics

Footer

Our Location

  • PATRICK MALONE & ASSOCIATES, P.C.

    1310 L Street NW
    Suite 800
    Washington, DC 20005

  • Phone: (202) 742-1500
  • Toll Free: (888) 625-6635
  • EMAIL
  • Facebook
  • Twitter
  • Youtube
  • Linkedin

What We Do

  • Brain And Spinal Cord Injuries
  • Medical Malpractice
  • Birth Injury
  • Auto, Truck And Motorcycle Injuries
  • Defective And Dangerous Products
  • Dangerous Drugs
  • Nursing Home Neglect And Abuse
  • Consumer Rights
  • Accounting and Legal Malpractice

Directions

Get Directions

© 2023 Patrick Malone & Associates, P.C. | All Rights Reserved | Legal Notice