Message from KEPRO

KEPRO has requested the following information to be sent to Virginia Health Care Association members:

The Centers for Medicare & Medicaid Services (CMS) has restructured the Quality Improvement Organization (QIO) Program to further enhance the quality of services to Medicare beneficiaries. Effective August 1, 2014, KEPRO is the new Beneficiary and Family Centered Care (BFCC) QIO for the state of Virginia. Previously, the QIO in Virginia was VHQC.  KEPRO will strive to keep a local presence by having outreach staff throughout the area and using state-specific physician reviewers, whenever possible, to provide review determinations at the local level. The same beneficiary protection services will continue to be provided to Medicare beneficiaries. This includes the right for a Medicare beneficiary and his/her representative to contact KEPRO:

  • To file a quality of care complaint about the quality of health care received from a Medicare provider.
  • To file a discharge appeal when a beneficiary is being discharged from a hospital or skilled services (including a skilled nursing facility, home health services, or hospice).
  • For assistance with an immediate problem by requesting Immediate Advocacy.

For more information about KEPRO’s services, please visit their website.