related links

• Overview of Services
• How to File a Quality of Care Complaint
• Immediate Advocacy
• Additional Resources
• En Español
• Case Status Check

watch a video about appeals:

contact information

To speak with a representative about Kepro's services, click on the link below for the phone number for your state.

Kepro Telephone Numbers

hospital discharge appeals

If you have Medicare (including Medicare Advantage), you have the right to appeal a hospital discharge if you feel too sick to leave. The hospital will give you a form called "An Important Message from Medicare." This form tells you how to appeal the discharge. 

If you call Kepro for an appeal, Kepro’s doctor will look at the medical record to see if you should stay in the hospital.  

During the appeal,

• You do not have to leave the hospital.
• You do not have to pay for the extra days in the hospital while Kepro reviews the medical record.

skilled service termination appeals

If you have Medicare (including Medicare Advantage), you have the right to appeal a discharge if you do not agree with the decision that skilled services will be stopped. You must be given a letter called a Notice of Medicare Non-coverage with the planned discharge date explaining how to appeal. 

Once you receive the letter, you can call Kepro. Kepro’s doctor will look at the medical record to see if the services should continue.

denial of coverage from a medicare advantage plan 

If you have a Medicare Advantage plan, you have some additional Medicare rights. If you are concerned that you cannot get the care you need, you have the right to appeal to the Medicare Advantage plan. You can appeal things like denials for:

• Referrals to a specialist;
• Approval for tests (like x-rays or blood tests); and
• Payment of a bill.

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. If you need this faster review, ask your Medicare Advantage plan for an “expedited appeal.” 

For additional information about a denial of coverage, call 1-800-MEDICARE.

For additional information about asking for medical records, please complete a Medical Record Request Form.