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Is Kepro an insurance company?
Description of Services: KEPRO, a care management company, has worked with public program and commercial health insurance payers and employers for over 30 years. We currently service 250 commercial, public and federal clients.
How do QIOs work?
QIOs analyze data and patient records to identify areas for improvements in care, and ensure patients’ voices are being heard by addressing individual complaints and bringing their perspectives into the improvement process.
When should the IMM be given?
Hospitals must issue the IM within two calendar days of admission, obtain the signature of the beneficiary or their representative and provide a copy at that time. Hospitals will also deliver a copy of the signed notice as far in advance of discharge as possible but not more than two calendar days before discharge.
Who gets a Moon letter?
What is MOON? The MOON is a standardized notice to inform beneficiaries (including Medicare health plan enrollees) that they are an outpatient receiving observation services and are not an inpatient of the hospital or CAH.
What happens if a patient does not agree with a redetermination?
If the redetermination decision is unfavorable, the notice the enrollees receive will contain the information an enrollee needs to file a request for a reconsideration by the Independent Review Entity (IRE).
Is kepro government sponsored?
Peer Reviewers South Carolina DHHS TRICARE TQMC Virginia DMAS West Virginia ASO Government sponsored healthcare programs are unique. So is Kepro. Kepro provides technology-enabled services for priority populations to help them remain in the home or community of their choice.
What is kepro PA needs assessment?
PA Needs Assessments Peer Reviewers South Carolina DHHS TRICARE TQMC Virginia DMAS West Virginia ASO Government sponsored healthcare programs are unique. So is Kepro. Kepro provides technology-enabled services for priority populations to help them remain in the home or community of their choice.
Is kepro certified by CMS?
Kepro Certified by CMS To Resolve Disputes Under the No Surprises Act February 3, 2022 Press Release Kepro Completes Acquisition of eQHealth October 1, 2021 Article Kepro Improves Healthcare Outcomes with Fast and Accurate Insights From Text Analytics for Health (via Microsoft)
How many healthcare Appeals does kepro receive each year?
$48M Returned to Medicare Trust Fund 92,000 Healthcare appeals reviewed annually 1.2M Customer service calls received each year 86,000 Quality reviews completed annually Latest News and Insights Press Release Kepro Certified by CMS To Resolve Disputes Under the No Surprises Act February 3, 2022 Press Release