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KEPRO - Beneficiary and Family Centered Quality Improvement Organization (BFCC-QIO)
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Patient Navigation
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. Welcome!

Understanding your doctor and making your way through difficult medical systems and treatments can be very overwhelming. KEPRO’s Patient Navigation program can help you be a partner in and take control of your own health. If you have Original Medicare, Patient Navigation is included in your benefits and offered at no cost to you.

KEPRO’s Patient Navigators can:
  • Help coordinate your care
  • Offer tips on how to manage medications
  • Help you better understand a diagnosis or treatment plan
  • Provide resources and information to help you understand, treat, and prevent diseases
  • Help improve your quality of life

Patient Navigation Example

A Medicare beneficiary was discharged from a rehabilitation facility after his appeal was denied. His wife requested that he join the Patient Navigation program. His discharge plan was for home health; however, he had no medical equipment at home. He was only able to walk with a front-wheeled walker and had an upcoming visit with his primary care physician. His wife was unsure how she would transport him.

KEPRO’s Patient Navigator was able to assist the wife with setting up transportation to the doctor’s appointment and followed up with the home health agency, as the wife needed additional medical equipment, such as a shower chair. The Patient Navigator followed the beneficiary’s care for 32 days to make sure he was progressing well with the home health agency.

Frequently Asked Questions about the Patient Navigation Program

Q. Who qualifies for the Patient Navigation program?

A. KEPRO is accepting all Medicare Fee-for-Service (FFS) beneficiaries.

Q. What is the goal of the Patient Navigation program?

A. The goal is to assist you as a Medicare beneficiary with moving through the complex healthcare system by working with providers and other organizations to meet your needs.

Q. What do Patient Navigators do?

A. Patient Navigators can help you with the following types of needs: coordinate care, help with questions to ask the physician at an upcoming appointment, help understand a treatment plan or diagnosis, assist with medication management, and provide resources and information to help keep you healthy.

Q. What are the qualifications of KEPRO’s Patient Navigators?

A. Patient Navigators have a background in social work or nursing.

Q. What is the length of time beneficiaries are in the program?

A. This program is meant to be a short-term program to meet transitional needs. You can be assisted for up to 60 days as needed.

How Can Our Patient Navigation Program Help You?

If you are a person with Medicare and want information on KEPRO’s free Patient Navigation program, please fill out the form below or contact KEPRO's Helpline.

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