• KEPRO – Beneficiary Complaints and Quality of Care reviews
The Centers for Medicare & Medicaid Services (CMS) has made dramatic changes to the Beneficiary and Family Centered Care (BFCC) Quality Improvement Organization (QIO) program. Beginning August 1, 2014, the BFCC-QIO program will be managed by one of two organizations nationally. The organization assuming the QIO work for Indiana will be KEPRO. Health Care Excel will no longer be conducting QIO activities after July 31, 2014. KEPRO will manage all beneficiary complaints and quality of care reviews to ensure consistency in the review process while taking into consideration local factors important to beneficiaries and their families. Click here an information sheet about the changes to the QIO program and contact information for KEPRO.
This change will impact your Notice of Medicare Noncoverage forms. You will need to change the name and toll-free # for the QIO on those forms, but do NOT distribute the new number to patients prior to August 1, 2014. Click here for information on KEPRO. Your facility will receive additional information from KEPRO.
• QSource – Quality Improvement Initiatives
IHCA is under the impression that QSource of Tennessee has been awarded the Quality Innovation Network (QIN) QIO for Indiana, replacing Health Care Excel. QSource will be responsible for working with providers and the community on multiple, data-driven quality initiatives to improve patient safety, reduce harm, and improve clinical care at their local and regional levels. A formal announcement is expected in the near future.
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment