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Kepro - Beneficiary and Family Centered Quality Improvement Organization (BFCC-QIO)
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healthcare professionals Become A Physician Reviewer
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!

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overview

Kepro is a nationally recognized provider of healthcare management solutions in both state and federal government as well as commercial clients. We provide prior authorization, utilization and specialty review, and case and disease management services. To accomplish our objectives, Kepro must have qualified peer reviewers who meet the following criteria:

  • Are doctors of medicine, osteopathic medicine, dentist, podiatry, or other allied health care practicioners
  • Have a current state license
  • Are board certified

For peer reviewers interested in working with Kepro on Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) reviews, there are two types of cases:

interested in becoming a peer reviewer for kepro?

By joining our team of peer reviewers, you can contribute to improving the quality and utilization of health care services. You will receive education and training to assist you during the review process.

Please apply to join our peer review team by filling out our Peer Reviewer Application.

If you have further questions about becoming a peer reviewer, or would like addditional information, please contact our Credentialing Department at (717) 564-8288 x7090 or e-mail medicalaffairs@kepro.com.

what to expect with case review

Kepro provides liability coverage for peer reviewer activities, and the reviewer's name will remain confidential except instances where identification is required by law or by specific contact. We provide compensation for our reviewers based on the type of review or service being requested and/or amount allowed by the individual customer for whom the work is being performed. Compensation of services will be made withing 45 days of receipt of the completed report and invoice.

While we cannot guarantee any pre-established volume commitments, your approval as a credentialed will present you with opportunities to work with our organization in both the private and public sector.

peer review information

There are PowerPoint presentations below for more information on the two BFCC-QIO review types. 

Physician Education: CMS Guidelines Relevant to Appeals Reviews (PDF Format)

The Peer Review Process (PDF Format)




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