Medicare Quality Improvement Organization: KEPRO
October 16, 2023 | Education, Resources
If you have Medicare, Learn about the Rights you Have Under Medicare Kepro is the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for 29 states. Kepro offers three services to help improve the quality of care and health outcomes for people with Medicare. For further information on these services and BFCC-QIO, please view this powerpoint presentation that was held on March 7th, 2024 by speaker Nancy Jobe.
If you have Medicare, you can:
- File a quality of care complaint about the quality of health care received from a Medicare provider. You may contact Kepro’s Helpline, and a trained professional will help assist you with filling out the complaint form. The form is also available for download on Kepro’s website at www.keproqio.com/bene/qualityofcarecomp.aspx.
- File an appeal if you feel too sick to be discharged from a hospital or if you feel that skilled services are ending too soon (including a skilled nursing facility, home health
services, or hospice). When services are ending, you will be given a form that explains your appeal rights. You can call Kepro, and a Kepro physician will review your medical record to determine if you still need continued medical services. - Ask for assistance with an immediate problem with medical care or services by requesting Immediate Advocacy. Trained staff will contact your provider with your permission to see if a resolution can be found for your situation.
For more information about Kepro’s services, please visit their website at www.keproqio.com/bene or call Kepro to speak to a customer service representative.