HARRISBURG, PA – APS Healthcare announced today that it will be serving the citizens of Florida as KEPRO, leveraging expertise and continuing its partnership with the Florida Department of Children and Families to build healthier communities through the Preadmission Screening and Resident Review (PASRR) program to ensure individuals receive appropriate care.
Since 2007, APS Healthcare has been supporting the state in ensuring that no individual with a serious mental illness is inappropriately placed in a nursing home by completing PASRR Level II evaluations and determinations. When nursing home level of care is found to be needed, the program will work to ensure that the patient’s mental health needs are also met.
As part of the rebranding initiative KEPRO unveiled the new website, http://flpasrr.kepro.com/ that includes enhanced usability and content to further assist Florida’s members and providers, alike.
“This change really emphasizes our dedication to providing additional value to meet our client’s and their member’s specific needs,” stated KEPRO President and CEO Joseph A. Dougher. “KEPRO continuously delivers on our promise of providing Intelligent Value and this new website and its functionality does just that.”
The new website provides quick and easy access to essential information and programs to assist individuals, families and providers in getting the resources they need. The site is enhanced with richer online content that is easy to navigate. The new website will be updated on a regular basis to ensure that content is always up-to-date and accurate.
In May of 2015, APS Healthcare was acquired by KEPRO, a leading quality improvement and care management organization. The combination has enhanced KEPRO’s ability to provide comprehensive and high quality service offerings through an integrated approach and customized solutions.
To learn more about the services and solutions KEPRO offers, visit www.kepro.com.
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Media Contact: Jamie Kopko, Director of Corporate Communications, JKopko@Kepro.com, 717.564.8288 x7076 Read More
Rare opportunity to gain insight into BFCC-QIO’s perspective on short-stay inpatient admissions, to help improve decisions and reduce denials
Harrisburg, PA - Executives from McKesson Health Solutions and KEPRO will share the podium at the ACMA 2016 National Conference to help providers better understand how to reduce denials, the Centers for Medicare & Medicaid Services’ (CMS) final Two-Midnight Rule and the Beneficiary and Family Centered Care audit process. Co-presenting at the conference, being held April 2-6 in Tampa, Fla., will be Tammie Phillips R.N., McKesson’s Vice President, Business Consulting, and Cheryl Cook R.N., KEPRO’s Program Director for CMS Areas 2 and 4.
“Many providers are still confused by the Two-Midnight Rule and how it relates to medical necessity and overall care management program considerations”
Their interactive session, “Denials Management, the Two-Midnight Rule, and the QIOs Perspective,” will be held on April 5th at 10:30 a.m. ET. Phillips and Cook will discuss provider trends and challenges around denials management, with particular focus on the impact of the updated rule. They will share insights on the BFCC-QIO audit process and expose common gaps in provider workflows. This is a unique opportunity to hear perspectives directly from one of only two BFCC-QIOs charged by CMS to audit short-stay claims and ask questions.
“Many providers are still confused by the Two-Midnight Rule and how it relates to medical necessity and overall care management program considerations,” Phillips says. “Knowing what to expect requires an understanding of correct documentation of medical necessity, how the QIOs will conduct the audit process and the tools they will use to support their short-stay inpatient reviews. Our session will shed light on these challenges and opportunities, which are crucial advantages for reducing denials.”
The 23rd annual American Case Management Association (ACMA) National Conference will convene over 1,500 case management and transitions of care professionals for ongoing training, education, and networking, to strengthen their skills within the practice setting. A long-time supporter of ACMA, McKesson will be exhibiting and answering attendees’ questions at ACMA booth #312.
For more information on the ACMA 2016 National Conference, visit http://casemanagementconference.com. For more information about McKesson Health Solutions, please visit www.mckesson.com and follow us on Twitter at @McKesson_MHS. For more information about KEPRO, please visit our website, ‘Like’ us on Facebook or follow us on Twitter at @KEPRO_PA. Read More
HARRISBURG, PA – KEPRO announced today it was recently awarded a new contract with the state of Minnesota to manage the Emergency Medical Assistance Program on behalf of the Minnesota Department of Human Services.
“We’re excited to expand our services for the state of Minnesota,” said Joe Dougher, President and Chief Executive Officer. “Over the past 3 years we have worked to provide utilization management for the state’s Medicaid program and this opportunity allows us to further enhance our healthcare services for Minnesotans.”
KEPRO currently manages Minnesota’s Fee-for-Service Medicaid program and helps 315,000 members receive the quality care they need through utilization management. KEPRO’s clinical team, based in Bloomington, determines the medical necessity of various healthcare procedures, treatments, and health services, including mental health services for both children and adults, dental services, and durable medical equipment.
With the new contract, KEPRO will provide services to support the management of the Emergency Medical Assistance (EMA) program. EMA covers the care and treatment of non-citizens who would otherwise qualify for Medicaid for emergency medical conditions provided in the Emergency Department or inpatient hospital. EMA also covers some care and treatment provided in other settings without which a patient’s health would be in serious jeopardy, including dialysis and cancer treatments. KEPRO will review submitted Care Plan Certification requests to determine if individuals meet established criteria for coverage.
KEPRO, a leading quality improvement and care management organization, offers innovative and outcomes-focused solutions to reduce the utilization of health care resources and optimize quality of care for public and commercial clients. KEPRO’s tailored programs maximize members’ quality of life, and realize greater cost savings for members and clients alike. To learn more about KEPRO, visit www.KEPRO.com.