Is Kepro a QIO?

Is Kepro a QIO?

More specifically, KEPRO is a Quality Improvement Organization (QIO) serving Medicare beneficiaries for more than a quarter century. The QIO program is the cornerstone of Medicare’s efforts to improve the quality of care and health outcomes for Medicare beneficiaries.

What is BFCC QIO?

Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO) help Medicare beneficiaries with their concerns about the quality of care they receive from a Medicare provider.

What is a Kepro appeal?

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.

Who is our QIO?

What is the QIO Program? The QIO Program, one of the largest federal programs dedicated to improving health quality for Medicare beneficiaries, is an integral part of the U.S. Department of Health and Human (HHS) Services’ National Quality Strategy for providing better care and better health at lower cost.

What is Kepro in WV?

Kepro provides comprehensive healthcare management and consultation to West Virginia Department of Health and Human Resources (DHHR).

Where is Kepro located?

Where is Kepro’s headquarters? Kepro’s headquarters is located at 424 Church Street, Nashville.

What do QIO do?

A Quality Improvement Organization (QIO) is a group of health quality experts, clinicians, and consumers organized to improve the quality of care delivered to people with Medicare.

What types of activities does a QIO do to improve quality?

To improve these measures, QIOs make quality measure data available to providers, offer technical assistance tailored to individual providers, and facilitate meetings at which providers and stakeholders share best practices.

How does a QIO work?

QIOs are private, mostly not-for-profit organizations staffed by doctors and other healthcare professionals trained to review medical care, help beneficiaries with complaints about the quality of care, and implement improvements in the quality of care available throughout the spectrum of care.

How does QIO improves policies and healthcare for Medicare beneficiaries?

BFCC-QIOs help Medicare beneficiaries exercise their right to high-quality health care. They manage all beneficiary complaints and quality of care reviews to ensure consistency in the review process while taking into consideration local factors important to beneficiaries and their families.