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Kepro - Beneficiary and Family Centered Quality Improvement Organization (BFCC-QIO)
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We are the Medicare Quality Improvement Organization, working to improve the quality of care for Medicare beneficiaries. Our site offers beneficiary and family-centered care information for providers, patients, and families.

attention: updated notification process for new appeals

Starting on January 17, 2023, post-acute facilities and Medicare health plans will no longer receive phone calls for appeal notifications (when a new appeal has been filed). Post-acute facilities and Medicare health plans will receive fax notifications only. Acute care facilities and Medicare health plans will continue to receive both appeal notification phone calls and faxes for acute appeals. Read more on our appeals page.

cms beneficiary notices initiative (bni): what's new

On January 23, 2023, the Centers for Medicare & Medicare Services (CMS) announced that the Office of Management and Budget approved updated versions of beneficiary notices, including the Important Message from Medicare. More information is available on our appeals page.

case status tool

Use this tool for appeal cases with the following case ID format:

2019MMDD_appeal number_patient’s first and last initial

Appeal Case ID Example: 20190714_23_JD




video

Watch a video to learn more about the Case Status tool. 

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resource spotlight: newsletters

A newsletter for healthcare providers and stakeholders

Case Review Connections will 

  • give you a glimpse into Kepro and the services provided and
  • updates from the Centers for Medicare & Medicaid Services (CMS).

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View past issues: Case Review Connections

A newsletter for people who have Medicare

On the Healthcare Front will

  • tell you about Kepro’s free services for people who have Medicare and
  • give you information from Medicare and other related content.

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View past issues: On the Healthcare Front




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