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Based on feedback received, we have instituted a dedicated phone number for healthcare providers. If you have questions about a case, need to verify if medical records were received or have other inquiries, please refer to the table below for your s
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Updated: 4 hours ago
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Contact Details. Details for KePRO Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) Organization Name: KePRO Organization Description: Complaints about quality of care, and filing an appeal or complaint. A federal gov
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There are two organizations that operate BFCC-QIOs across 10 regions in the United States and its territories, they are Livanta and Kepro. To file an appeal or a complaint with Medicare, contact the organization for the state where the care was prov
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Updated: 1 hours ago
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KePRO authorizations in effect August 1. Contact the Provider Service Center: (888) 289-0709. Q. Who is the new Quality Improvement Organization for SC Medicaid? A. Keystone Peer Review Organization (KePRO). Q. When will KePRO begin op
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Updated: 8 hours ago
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The BFCC-QIOs ( Kepro, Livanta ) review complaints and quality of care, and help to improve the effectiveness, efficiency, economy and quality of services provided to people with Medicare. BFCC-QIOs provide services to help with complaints and quali
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Updated: 7 hours ago
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Simultaneously, KEPRO was awarded Oregon, Virginia and West Virginia’s Medicaid and Medicare management programs. 5 KEPRO grew so fast due to all Medicare providers signing the MOA with a QIO in 2014. Federal insurers can collect data continuously f
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Updated: 8 hours ago
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For additional information regarding the BFCC-QIO appeals process, as well as KEPRO’s contact information, please visit the website at www.keproqio.com. Appeals Process: Tips for Success All material presented or referenced herein is intended for ge
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Updated: 6 hours ago
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As a BFCC-QIO, Kepro reviews quality of care complaints and hospital discharge and skilled service termination appeals for people with Medicare. We also provide Immediate Advocacy services to help
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Updated: 2 hours ago
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Kepro is the Beneficiary and Family Centered Care Quality Improvement Organization (also known as a BFCC-QIO) for 29 states. Kepro helps people with Medicare
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Updated: 2 hours ago
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Livanta is an authorized contractor of the Centers for Medicare & Medicaid Services and the designated BFCC-QIO for Regions 2, 3, 5, 7, and 9 of the United States. Information provided on the site should not be used as medical or legal advice and is strictly provided as a public service.
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Updated: 7 hours ago
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Please enter the Appeal Case ID associated with the Medical Record(s) being uploaded. The Case ID was provided to you by a Kepro employee during the initial appeal notification call and can be found on the Appeal Documentation Request faxed to you,
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Updated: 2 hours ago
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Kepro was founded by physicians from the Commonwealth of Pennsylvania Medical Society in 1985, at the request of the Centers for Medicare & Medicaid Services (CMS) to serve as the state’s Quality Improvement Organization (QIO). This clinical leaders
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Updated: 5 hours ago
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Contact Us. Locate Your QIN-QIO Locate Your BFCC-QIO Glossary. Notice: Links or URLs on this page may redirect you to a site hosted by a third-party. Linking to these sites does not imply endorsement by the QIO Program, Centers for Medicare & Medica
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Updated: 3 hours ago
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QIO. In Florida the QIO is called KEPRO. You may contact KEPRO at the following address or phone number: Address: KEPRO . 5201 W. Kennedy Boulevard, Suite 900 . Tampa, FL 33609 . Phone Number: 1-888-317-0751 . Coverage Decisions Coverage
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Updated: 8 hours ago
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One can check their Livanta appeal status by calling the Livanta appeal phone number which is the Livanta Medicare helpline 1877-588-1123. To check the status of Short Stay Reviews one must call at 1866-603-0970. The Livanta second appeal can also be checked by calling on the mentioned helpline numbers.
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Updated: 4 hours ago
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Alliant Health Solutions is the Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Alabama, Florida, Georgia, Kentucky, Louisiana, North Carolina and Tennessee. Phone: 1-877-936-9260
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Updated: 7 hours ago
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Toll-free Fax**. 844-878-7921. Mailing Address. 5201 West Kennedy Blvd. Suite 900. Tampa, FL 33609. *A TTY (teletypewriter) is a special device that lets people who are deaf, hard of hearing, or speech-impaired use the telephone to communicate, by allowing them to type messages back and forth to one another instead of talking and listening.
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Updated: 1 hours ago
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Medicare beneficiaries may also submit appeals or report quality of care concerns to Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIO) by calling 1-844-430-9504 or mailing to: KEPRO, Rock Run Center, 5700 Lombardo Center, Suite 100, …
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Updated: 4 hours ago
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Quality Improvement Organization (BFCC-QIO) before you leave. A BFCC-QIO is a type of quality improvement organization (a group of doctors and other health care experts under contract with Medicare) that reviews complaints and quality of care for people with Medicare. To get the phone number for your BFCC-QIO, visit . Medicare.gov/contacts, or call
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Updated: 8 hours ago
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Effective 10/01/2019, the name, address, and phone number of the Quality Improvement Organization has changed to: Pennsylvania Livanta BFCC-QIO Program 10820 Guilford Road, Suite 202 Annapolis Junction, MD 20701 Phone: 1.888.396.4646 TTY: 1.888.985.2660 Fax: 1.833.868.4057 Website: LivantaQIO.com Link West Virginia
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Updated: 3 hours ago
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If you are in a Medicare health plan the BFCC-QIO generally will notify you of its decision by the effective date of this notice. Call your BFCC-QIO at Livanta 1- 866-815-5440 TTY 1-866-868-2289 to appeal or if you have questions. If you belong to a Medicare health plan Call your plan at the number given below.
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A QIO is a group of doctors and other professionals who monitor the quality of care delivered to Medicare beneficiaries. They are paid by the federal government and not affiliated with a hospital or HMO. The phone number should be on the IM. It is very important to contact the QIO right away.
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Updated: 7 hours ago
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Secure clients’ Protected Health Information (PHI) with a robust healthcare compliance solution. Manage your government and commercial post- and pre-pay audit programs (e.g., RAC, MAC, QIO, CERT PERM, etc.) at no additional cost to you. Ease the stress of exchanging medical records and protected health information.
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Updated: 6 hours ago
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Kepro delivers care management and quality oversight solutions using clinical expertise and technology-driven solutions to improve quality and clinical outcomes for vulnerable populations. Kepro currently holds both Quality Improvement Organization (QIO) and QIO-like designations from CMS.