What is Kepro Medicare?

What is Kepro Medicare?

More specifically, KEPRO is a Quality Improvement Organization (QIO) serving Medicare beneficiaries for more than a quarter century. The QIO program is the cornerstone of Medicare’s efforts to improve the quality of care and health outcomes for Medicare beneficiaries.

How do I contact Kepro?

Please contact us to share your concerns confidentially. You can reach us by email at [email protected].

What is Livanta BFCC QIO program?

BFCC-QIOs are designed to help Medicare beneficiaries who have a complaint about clinical quality or want to appeal a healthcare provider’s decision to discharge them from the hospital or discontinue other types of services.

How long does Kepro have to make a decision?

The Medicare Advantage plan has information about how to start the appeal process. If you feel you may get worse by waiting too long, you can ask for an expedited appeal. This means the Medicare Advantage plan must make a decision about the appeal within three calendar days.

How long does a Kepro appeal take?

The entire review process should be done within 4-6 weeks. Step 2: During the phone call, we will talk about which concerns can and cannot be reviewed based on Medicare guidelines.

How long has Kepro been in business?

“For over 35 years Kepro has focused on the unique challenges of government sponsored healthcare programs.

Where is Kepro headquartered?

Overview Suggest Edit

Type Private
Founded 1985
HQ Harrisburg, PA, US
Website kepro.com
Employee Ratings 2.9

What is QIO number?

Helpline: (877) 588 – 1123. TTY: (855) 887 – 6668. Fax: (855) 694-2929.

How long does a Livanta appeal take?

After receiving your request for an expedited appeal, the QIO, Livanta, has 72 hours to issue a decision.

What is a QIO review?

QIO Review is the initial step in filing an appeal when your care is ending at a hospital, skilled nursing facility (SNF), Comprehensive Outpatient Rehabilitation Facility (CORF), hospice, or home health agency. See also: Quality Improvement Organization (QIO).

What is an IMM letter?

DEFINITION: IMPORTANT MESSAGE FROM MEDICARE (IM or IMM): A hospital inpatient admission notice given to all beneficiaries with Medicare, Medicare and Medicaid (dual-eligible), Medicare and another insurance program, Medicare as a secondary payer.

How do you win a Medicare appeal?

Appeals with the best chances of winning are those where something was miscoded by a doctor or hospital, or where there is clear evidence that a doctor advised something and the patient followed that advice and then Medicare didn’t agree with the doctor’s recommendation.

Is Kepro legitimate?

Is Kepro a good company to work for? Kepro has an overall rating of 3.0 out of 5, based on over 178 reviews left anonymously by employees. 45% of employees would recommend working at Kepro to a friend and 48% have a positive outlook for the business. This rating has decreased by -12% over the last 12 months.

What is it like to work for Kepro?

100% Remote and Efficient Support. Kepro has a very supportive IT team, the supervisors are professional, supportive, and polite when gearing the employee in the right direction to troubleshoot any issues. This all has made my first work from home position exceptionally functional and an overall great experience.

Is Kepro a good company to work for?

How big is Kepro?

With 18 offices and over 1,500 employees across the United States, Kepro has improved the lives of more than 77 million beneficiaries nationwide.

How does the QIO improves policies and healthcare for Medicare beneficiaries?

To improve these measures, QIOs make quality measure data available to providers, offer technical assistance tailored to individual providers, and facilitate meetings at which providers and stakeholders share best practices.

  • October 12, 2022