New Contractor For Medicare Consumers With Quality of Care Concerns

July 22, 2014

Medicare consumers will see changes in the CMS Beneficiary and Family-Centered Care (BFCC) program, including a new contact to address quality of care concerns.

Topeka, Kan. – For the past 40 years, the Kansas Foundation for Medical Care (KFMC) has been honored to serve Medicare consumers by providing them a voice through conducting quality of care reviews, discharge and termination of service appeals and other areas of required review in various provider settings. This review has been performed by KFMC as the Centers for Medicare & Medicaid Services (CMS) designated Quality Improvement Organization (QIO) in Kansas.

"KFMC has worked hard to ensure each Medicare consumer concern we review is treated fairly and receives the highest level of service," said Sarah Irsik-Good, MHA, Director of Quality Improvement. "Quality of care review is essential to improving the quality of care all Kansans receive."

While this work has traditionally been done by the state QIO, changes have been made by CMS to restructure the QIO program. These changes include identifying a new contractor to support the program’s case review and monitoring activities that will be separate from the traditional quality improvement activities of the QIO. The contractor that will provide services to Kansas Medicare consumers will be KePRO, located in Seven Hills, Ohio. This change is effective August 1, 2014. After August 1, any Kansas Medicare consumer with concerns regarding the medical care they have received should contact KePRO at 855-408-8557 or TTY users can call 855-843-4776.