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KEPRO - Beneficiary and Family Centered Quality Improvement Organization (BFCC-QIO)
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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. Welcome!

Due to requirements from the Centers for Medicare & Medicaid Services (CMS), as of 12/10/2019, KEPRO is transitioning back to the CMS-designated case review system – QMARS. During this transition, two tools will be available below. Please choose the tool that matches the case ID format of your case.

These QMARS cases will also have new fax numbers, so healthcare providers should pay close attention to the fax number listed on the medical record request.

We are aware that there have been delays, due to this transition, including long wait times. We are working diligently to resolve any issues and appreciate your patience and cooperation during this time.

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

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

Appeal Case ID Example: APL-1234

To get the status for these cases, click on the button below to be directed to the QMARS case status website.

Check Case Status

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