Please note that payment is processed approximately 30 days from submission date. Click here to join the webinar session. Determination letters will be faxed to the number used for the medical record request. As a BFCC-QIO, Kepro helps people who are on Medicare - and their families and caregivers - to file quality of care complaints and hospital discharge and skilled service termination appeals. during the BFCC-QIO appeals process, KEPRO has compiled some tips to help make the process flow more smoothly. DME-Certificate of Medical Necessity Updated July 2017 210 KB .doc CMS 485. Upon Completion submit Form to DHS. During the appeal, You do not have to leave the hospital. Many of Kepro's documents are provided in Adobe Acrobat Reader format. To obtain your Registration code contact Kepro Customer Service at 866.433.3658 for assistance. We partner with government and private healthcare payers to maximize healthcare quality, improve accuracy and increase efficiency. If you have questions or concerns related to Kepro's services, as they may be impacted by the hurricane, please contact us toll-free at 888-317-0751. Please enter your Kepro EAP service dates using the EAP Payment Portal. . Government sponsored healthcare programs are unique. You can submit your request for an appeal directly to Kepro by mail, phone, fax or email by using our contact information from above. KEPRO offers information and assistance to providers, patients and families regarding beneficiary complaints, discharge appeals and immediate advocacy in states. Grievances/Complaints are reviewed and resolved within five (5) business days. Keypro Plus has designed three software products - KITRET , KeVAT and KeTDS. stake crazy coin flip. Visit MHCP.kepro.com, click the Atrezzo Login button and you will be prompted to enter your NPI number and Registration Code. 2022 Provider Training Schedule; To access Kepro's 2022 Provider Training Schedule, please click the Training tab then select General . Tips for Success: Educate staff regarding the BFCC-QIO, the notice time frames, how to send medical records, and how to properly fill out the notice. I conducted a quick poll prior to writing this article and found that 4 out of 10 coders and billers surveyed had no idea KEPRO existed. Submit Grievances and/or Complaints to KEPRO in writing at [email protected] or contact EKPRO Customer Service Department at 888.827.2884. Visit www.keproqio.com/contact to update your information Email MOA@kepro.com to verify your organization's contact information on file at Kepro Bookmark Kepro's online case status tool for 24/7 access to appeal status. You do not have to pay for the extra days in the hospital while Kepro reviews the medical record. You can submit your request for an appeal directly to Kepro by mail, phone, fax, or email by using our contact information below. camping at the beach. Learn More Facsimile or mail submission* - reimbursement rate is $0.15 per page for requested patient records (plus the cost of first class postage for mailed photocopies) These changes are applicable to all providers and practitioners providing patient records to Kepro for the purpose of BFCC-QIO reviews under 476.78 We have social workers and representatives on staff to help resolve medical concerns quickly through Immediate Advocacy services. So is Kepro. DHS-7109D- EIDBI 60 Day Temporary Increase Form. In accordance with regulations of SCDHHS, a provider wishing to file an appeal must request a hearing in writing and submit a copy of the notice of adverse action or the remittance advice reflecting the denial in question. Do not feel bad if you have never heard of KEPRO. Make sure that weekend staff is familiar with the notices and the appeals process. DHS 3806A-Instructions for the MHCP: Early Intensive Developmental and Behavioral Intervention (EIDBI) Authorization Request form. www.keproqio.com/casestatus Please contact Kepro's Helpline with any questions. Description File Size File Type. . Kepro provides technology-enabled services for priority populations to help them remain in the home or community of their choice. 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. Our seasoned team works collaboratively with both members and providers to support many different appeals including: 1st and 2nd Level Medical Necessity Reviews Appeal Request. MCSCs and/or Designated Providers will be required to submit the following information: Complete medical records pertaining to the appeal; Appeal request; Initial denial determination . If you have not registered for online submission, please do so prior to the training. For questions regarding this change or the upcoming training please contact Kepro Provider Relations at 1-866-521-0027, Option 3, or via email at ProviderRelationsME@kepro.com. Forms. FVU version 7.8 released on 23-7-2022 is included in eTDS Module. This form tells you how to appeal the discharge. Many of Kepro's documents are provided in Adobe Acrobat Reader format. You will need to provide the case authorization number, client ID number, and your provider ID number in order to enter session data for your client. Posted: 2/1/2022 . JSON file generation started for all ITRs for. MCSC and/or Designated Provider Responsibility. Please join Kepro and attend our How to Submit Inpatient request training on October, 18, 2022, @ 02:00pm EST. Kepro is the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for the 29 states highlighted in the map below. If you are unable to make the training, you can view the pre-recorded training video or view the instructional guide . Clinical Appeals . For all appeals, the TQMC determination will be in writing and will include any and all applicable appeal rights. Kepro login. BFCC Upload - Provider Medical Record Upload - Appeals Provider Medical Record Upload - Appeals Providers will receive automated faxes with immediate notification of appeal determinations within 30 minutes of Kepro notifying the beneficiary or their family. Please simply supply us with your name and preferred method of contact, such as a phone number. Or, you can immediately initiate an appeal by sending us an email now. EPSDT Home Health Certification and Plan of Care 7 KB .docx . If you or your guardian has received a PASRR Level II determination that you do not agree with, you have 90 days from the date of the decision to submit an appeal. Submitting a Florida PASRR Appeal. CMN Dmas 352. 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