Beneficiary Protection Case Studies
A beneficiary’s representative filed a quality of care complaint with Masspro regarding the care the beneficiary received from a primary care physician. The specific complaint was that the physician did not investigate the signs and symptoms the beneficiary was experiencing, and as a result, the beneficiary developed a serious illness.
Following a review of the medical record, Masspro identified that the physician did not perform preventive screening services as recommended, and upon the completion of an intensified review, a pattern of lack of preventive screening was discovered.
As a result of Masspro’s request for a quality improvement plan, the physician implemented computerized record keeping and initiated an assessment form that detailed necessary screening tests, ultimately leading to the provision of preventive screening as recommended.
Beneficiary Protection Case StudiesPlease check back in the future for updates.
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