TMF supports physician offices in their endeavor to provide appropriate, cost-effective care. We offer quality improvement consulting, tools and other resources.
July 27, 2014
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Review Process Information for Physicians

As the Quality Improvement Organization (QIO) for Texas, TMF Health Quality Institute is authorized by the Medicare program to review medical care and services provided to Medicare beneficiaries in the state. By law, TMF reviews these cases to determine if the services provided met medically acceptable standards of care, were medically necessary and were delivered in the most appropriate setting.

For the benefit of Texas physicians who may be interested in learning more about the QIO medical record review process, TMF is pleased to provide the following resources:

 

 

 

 

 

TMF has received Independent Review Organization accreditation from URAC. TMF is a GSA Advantage Contract Holder.