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Chapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) Subchapter F - QUALITY IMPROVEMENT ORGANIZATIONS Quality Improvement Organization Manual. Chapter 7 - Denials, Reconsiderations, Appeals. Table Of Contents. (Rev. 18, 10-10-14). Transmittals for Chapter 7. Release of New Quality Improvement Organizations (QIO) Manual Chapter 5, “Quality of Care The revised manual instructions are effective May 7, 2012. Quality Improvement Organization Manual Chapter 4 - Case Review (PDF) · Chapter 5 - Quality of Care Review (PDF) · Chapter 7 - Denials, Reconsiderations Medicaid Services (CMS). Transmittal 21. Date: August 7, 2015. SUBJECT: QIO Manual Chapter 6 – “Medicare + Choice Organizations (M+COs)”.instructed in the Medicare Claims Processing Manual, Chapter 30, section 200.5. “Provision of Information to the QIO” on page 7). If a QIO becomes aware Quality Improvement Organization Manual Chapter 4 - Case Review. Guidance for 4040 - Hospital and Medicare + Choice Date Published: 7/8/2020