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By Ginger - Site Admin on Friday, September 25, 2015 8:22 AM
Important changes will go into effect on October 1, 2015, regarding the Two-Midnight Rule. The Centers for Medicare and Medicaid Services (CMS) is changing its approach with regard to educating providers and enforcing Two-Midnight Short-Stay reviews. Specifically, CMS has decided to use Beneficiary and Family-Centered Care Quality Improvement Organizations (BFCC-QIOs), rather than Medicare Administrative Contractors (MACs) or Recovery Auditors, to conduct the first line medical reviews of providers who submit claims for inpatient admissions.

Kentucky’s BFCC-QIO is KEPRO, which has more information on the changes and action hospitals should take on its website. KEPRO is hosting an informational webinar for hospitals on Wednesday, September 30 at 3:00 p.m. (ET). Each hospital should identify at least one person to participate. There are a limited number of lines available so please register TODAY!...
By Ginger - Site Admin on Thursday, July 16, 2015 7:38 AM
KEPRO is the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for more than 30 states, including Kentucky. On July 28 from 10:00 – 11:00 a.m. (ET), KEPRO will host a webinar for Kentucky hospitals to discuss their role and answer any questions.

KEPRO will also briefly discuss the recent Centers for Medicare and Medicaid Services (CMS) Outpatient Proposed Rule which would expand their role on the Two-Midnight Rule policy. Specifically, CMS has decided to use QIOs, rather than Medicare Administrative Contractors (MACs) or Recovery Auditors, to conduct the first-line medical reviews of providers who submit claims for inpatient admissions.

For instructions on how to register, visit http://www.new-kyha.com/Portals/5/NewsDocs/KEPROMeetingRegistration.pdf.

If you have any questions, please contact Elizabeth Cobb at KHA (ecobb@kyha.com)....
By Ginger - Site Admin on Tuesday, July 14, 2015 7:45 AM

KEPRO is the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for more than 30 states, including Kentucky. On July 28 from 10:00 – 11:00 a.m. (ET), KEPRO will host a webinar for Kentucky hospitals to discuss their role and answer any questions.

KEPRO will also briefly discuss the recent Centers for Medicare and Medicaid Services (CMS) Outpatient Proposed Rule which would expand their role on the Two-Midnight Rule policy. Specifically, CMS has decided to use QIOs, rather than Medicare Administrative Contractors (MACs) or Recovery Auditors, to conduct the first-line medical reviews of providers who submit claims for inpatient admissions.

KHA will share dial-in information as soon as it becomes available. Please save the date.

If you have any questions, please contact Elizabeth Cobb at KHA (ecobb@kyha.com).

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