Learn How Kepro and the QIN-QIOs Work Together on Beneficiary Complaints
Manage episode 367942001 series 3354544
As a contractor for Medicare, Kepro serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Kepro provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare.
This episode is a conversation with our guests from the Quality Innovation Network Quality Improvement Organizations (QIN-QIOs). They will talk about how their organizations work with Kepro, the BFCC-QIO.
Gina Anderson RN, BSN, is a Senior Quality Improvement Facilitator at Telligen. She has worked in and supported nursing homes in a variety of roles for over 25 years including as a Director of Nursing, MDS coordinator, and a nurse consultant. In her current role, she supports healthcare providers across the Telligen region with quality improvement efforts through enhanced assistance, education, and resources. Gina has a strong compassion for building relationships with providers to improve the lives of Medicare beneficiaries.
As a Healthcare Quality Improvement Specialist at TMF Health Quality Institute for over 20 years, Melody Malone is responsible for Nursing Home Quality Improvement for multiple states, but most recently for both Nebraska and Texas. She also works on the CMS Quality Improvement Initiative (QII) with a variety of healthcare providers. In addition, she works on a special project via a HRSA Grant with the University of North Texas Health Science Center in Fort Worth.
For more information about Kepro BFCC-QIO, please visit www.keproqio.com.
KEY TOPICS
00:30: Overview, introduction of guests, Gina Anderson and Melody Malone
03:47: Introduction of the QIN-QIO
05:37: Examples of what the QIN-QIO does
10:50: The BFCC referral process
15:20: Examples of a BFCC referral
21:05: Final thoughts
SUBSCRIBE
Subscribe to our newsletters: Case Review Connections, On the Healthcare Front
RESOURCES
BFCC-QIO Information for stakeholders: www.keproqio.com/partners
BFCC-QIO Information for people who have Medicare: www.keproqio.com/bene
QIN information: www.qioprogram.org
Music: Motivational Upbeat Corporate by RinkevichMusic
https://soundcloud.com/rinkevichmusic
Video Link: https://youtu.be/U78mgVaM12M
25 episodes