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We are the Medicare Quality Improvement Organization, working to improve the quality of care for Medicare beneficiaries. Our site offers beneficiary and family-centered care information for providers, patients, and families.

announcement for healthcare providers: revamped notification system for appeal determinations

Providers will receive automated faxes with immediate notification of appeal determinations within 30 minutes of Kepro notifying the beneficiary or their family. Determination letters will be faxed to the number used for the medical record request. Telephone notification will be made to Medicare beneficiaries, acute care providers, and associated Medicare health plans with a hospital discharge appeals. Visit our appeals web page for more details, including some important reminders. 

case status tool

Use this tool for appeal cases with the following case ID format:

2019MMDD_appeal number_patient’s first and last initial

Appeal Case ID Example: 20190714_23_JD




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On the Healthcare Front will

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