The Quality Improvement Organization (QIO) Program is the cornerstone of Medicare’s efforts to improve the quality of care and health outcomes for beneficiaries. KEPRO is the Beneficiary and Family Centered Care QIO (BFCC-QIO) for more than 30 states. We offer information and assistance to providers, patients, and families regarding beneficiary complaints, discharge appeals, and Immediate Advocacy. Learn more
We want to make you aware that KEPRO is currently unable to verify Medicare coverage as well as enrollment in a Medicare Advantage plan, due to scheduled monthly system maintenance by the Centers for Medicare & Medicaid Services (CMS). The maintenance is scheduled to last from 8 PM ET on Friday, October 21 through 6 AM ET on Monday, October 24. During this time, KEPRO will attempt to function as normally as possible by providing our usual level of service while assisting Medicare beneficiaries, families, or their designee during the appeal/case review process.
If you have questions relating to this outage, please contact KEPRO via e-mail at KEPRO.Communications@HCQIS.org
or click here
for additional contact information. Thank you for your patience in working with us during this time.
As of August 1, 2015, phone numbers for previous state QIOs will no longer be forwarding to KEPRO's phone lines as has occurred over the last year. Please make sure that all of your beneficiary notices have been updated with KEPRO's appropriate area phone number. Should the notice not contain the correct number and the call is late, the skilled services notice (Notice of Medicare Non-coverage) will be deemed invalid.
If you are having difficulty accessing our toll-free numbers, please use the local numbers when contacting KEPRO: 813-280-8256 for Areas 2 and 4, and 216-447-9604 for Area 3.
For information about the availability of auxiliary aids and services, please visit: http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html
. This website has been designed to comply with Section 508 of the U.S. Rehabilitation Act. If you have a disability and have trouble accessing information on any of these pages, please email KEPRO.Communications@hcqis.org
. (If you are a facility, Medicare beneficiary, or representative and have questions about a specific case, please call the toll-free number for your state listed above. Please do not send personal, protected health information [PHI], such as a Medicare number or patient/provider name, through this email address.) To join our newsletter list, please click here
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