Navigation Links
Ohio KePRO Awarded Medicare Beneficiary Protection Program Support Contract
Date:8/12/2009

Company will lead national efforts to ensure that quality of care concerns are properly addressed.

Harrisburg, PA (Vocus) August 12, 2009 -- Ohio KePRO, the Quality Improvement Organization (QIO) for the state of Ohio, was named as the Medicare Beneficiary Protection Program Support Contractor by the Centers for Medicare & Medicaid Services (CMS). Ohio KePRO, a subsidiary of KePRO, a national quality improvement and integrated care management company, will provide support to all QIOs in beneficiary protection activities to enhance the program's effectiveness and facilitate quality improvement. The contract began immediately upon award, and runs through July 31, 2011.

"For the past ten years, Ohio KePRO has successfully worked to protect the rights and to help improve the quality of health care for Ohio's 1.8 million Medicare beneficiaries," said Joe Dougher, KePRO's Chief Executive Officer. "This contract enables us to facilitate key improvements in QIO case review and beneficiary care complaint processes, as well as to identify best practices related to system-wide quality improvement nationally."

QIOs are mandated by CMS to perform utilization review, quality of care review, review of beneficiary appeals of certain provider notices and review of potential anti-dumping cases. Quality of care review includes the review of beneficiary complaints. Ohio KePRO will work with all QIOs to ensure that review and beneficiary complaint processes are performed efficiently and effectively, to survey beneficiary satisfaction with complaint processes and outcomes, and to promote the use of alternative dispute resolution mechanisms, when appropriate. Ohio KePRO will also work to enhance QIO collaboration with other Medicare contractors and the Office of Inspector General to clearly establish the link between case review and quality.

Ohio KePRO's work to protect Medicare beneficiaries was featured in the Cleveland Plain Dealer on Tuesday, August 4, 2009. The article, Medicare provides for independent review of discharge decisions, explains that Medicare beneficiaries have the right to request a review when they feel they are being discharged from the hospital or home health care too soon.

About Ohio KePRO:
Ohio KePRO, a subsidiary of KePRO, is celebrating its 10th anniversary as the Quality Improvement Organization (QIO) for the state, under contract to the Centers for Medicare & Medicaid Services (CMS). Ohio KePRO is committed to continuous quality improvement in health care through the provision of innovative products and services at no charge to health care providers or Ohio's 1.8 million Medicare beneficiaries. Ohio KePRO works toward the CMS goal of the right care for every person, every time by providing quality improvement and medical case review services to protect beneficiaries and the Medicare Trust Fund.

Ohio KePRO quality improvement specialists collaborate with health care providers and stakeholders statewide to foster improved quality and care efficiency through consultation services, training, and other resources. The health of Ohioans has improved in these areas in recent years, with an increase in statewide rates of preventive services and a decrease in related mortality rates for breast and colorectal cancer, flu, and pneumonia.

Ohio KePRO also reviews medical cases as requested by Medicare beneficiaries, Medicare, or designated hospital staff members. These case reviews include beneficiary complaints, coverage and discharge appeals, hospital admissions, continued stays, and quality of care concerns. For more information, visit www.ohiokepro.com.

About KePRO:
KePRO, a leading quality improvement and care management organization, offers innovative and outcomes-focused solutions to reduce the utilization of health care resources and optimize quality of care for public and commercial clients. KePRO's comprehensive, member centric care management solutions go far beyond traditional utilization and case management by coordinating the care provided to members with acute, chronic and complex conditions across the continuum, and identifying members who are at the highest risk for future services, but have not yet had an acute event. Tailored programs maximize members' quality of life, and realize greater cost savings for members and clients.

Headquartered in Pennsylvania, KePRO also has offices in Florida, Maryland, Ohio, Tennessee, and Virginia. KePRO is URAC health utilization management and case management accredited. For more information, visit www.kepro.org.

Joanne Benteler
KePRO
717-265-7004
jbentele (at) kepro.org

###

Read the full story at http://www.prweb.com/releases/Ohio/KePRO/prweb2744614.htm.


'/>"/>
Source: PRWeb
Copyright©2009 Vocus, Inc.
All rights reserved  

Related medicine news :

1. KePRO Names Two New Business Development Directors
2. KePRO Employees Make "Great Strides" Towards Cure for Cystic Fibrosis
3. CBCA Administrators, Inc. Announces Strategic Partnership with KePRO
4. Shawn Hanley Named KePRO Director of Business Development - Public Programs
5. Stuart Chesky, DO, JD, Ohio KePRO Medical Director, Appointed to Ohio Joint Legislative Study Commission on Most Favored Nation Clauses in Health Care Contracts
6. KePROs Chief Medical Officer to Present and Participate in Physician Roundtable at McKesson Health Solutions Conference
7. Lenaye Lawyer, MD, FACOG, Named KePRO Medical Director
8. KePROs Chief Medical Officer to Deliver Clinical Keynote Address
9. KePRO Appoints Two New IT Vice Presidents
10. KePRO Names Stuart B. Chesky, DO, JD, as Pennsylvania Medical Director
11. Sharon McCudden Named KePRO Director of Business Process Improvement & Compliance
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Ohio KePRO Awarded Medicare Beneficiary Protection Program Support Contract
(Date:12/7/2016)... ... December 07, 2016 , ... Delete® - Tattoo Removal and ... The Holiday Party Season. Save Up To 33% Off Botox® and Juvederm® Products Now ... the Phoenix Valley with Delightful Deals on Botox® and Juvederm® just in ...
(Date:12/7/2016)... ... , ... "ProBrand Flip allows FCPX editors to create unique logo reveals which ... Pixel Film Studios. , ProBrand Flip includes 30 flip book reveal animations. Easily reveal ... a variety of flip book animations. In Addition, users can modify each preset to ...
(Date:12/7/2016)... ... December 07, 2016 , ... “The Road To Restoration”: an informative ... a one hour a week showing of hands. “The Road To Restoration” is the ... you are familiar with the brass ring that you could reach out for, and ...
(Date:12/7/2016)... (Dec. 3, 2016) , ... (PRWEB) December 07, ... ... only patient advocacy nonprofit for individuals impacted by cerebral cavernous angiomas, was awarded ... New Mexico with a patient engagement program. New Mexico has more people with ...
(Date:12/7/2016)... ... December 07, 2016 , ... "Hacking into my medical record ... him as 'a genius.'" Thus begins "Margaret in Berlin," Book Twelve in the ... Wyston Books, Inc. These novels narrate the lives of a poor teenager ...
Breaking Medicine News(10 mins):
(Date:12/6/2016)... LONDON , Dec. 6, 2016 Diabetes ... The diabetes and obesity disease cluster is currently ... (T1DM) and type 2 diabetes mellitus (T2DM), and the ... and quality of products, is attributable to these indications. ... a large market presence, there are a large number ...
(Date:12/6/2016)... The pen needles market is projected to ... billion in 2016, growing at a CAGR of 11.2% ... Over the years, the pen needles market has witnessed ... growing demand for safety injections in the healthcare industry. ... pen needles with an aim to reduce pain, increase ...
(Date:12/6/2016)... Eurofins Genomics today announced it has ... American Pathologists (CAP) and certification under the Clinical ... in Louisville, KY , where ... "Our new CLIA-licensed and CAP-accredited clinical ... considered the ,Gold Standard, method for validation of ...
Breaking Medicine Technology: