Medicare Beneficiary Protection
People who have Medicare or a Medicare Advantage Plan are guaranteed certain rights and protections.
You have the right to:
- Be treated with dignity and respect
- Be protected against discrimination
- Get information you can understand
- Get answers to your Medicare questions
- Get culturally competent services
- Get emergency care when and where you need it
- Learn about your treatment choices in clear, understandable language
- File a complaint
- Appeal denial of treatment or payment
- Have personal information kept private
- Know your privacy rights
As the Quality Improvement Organization for Ohio, we work to protect Medicare patient rights and improve the quality of healthcare provided in the state of Ohio. Read the Beneficiary Protection national program executive summary. 
Medical Case Review
Ohio KePRO reviews medical cases as requested by Medicare beneficiaries, beneficiary representatives, Medicare, or designated hospital staff members. Ohio KePRO case review services are free for Ohioans with Medicare.
For Medicare Beneficiaries
- Medicare Beneficiary Helpline
- Quality of Care Complaints
- Appeal the Decision to be Discharged from a Hospital or other Facility
- Dispute Resolution Options
- Get An Appointed Representative
For Healthcare Providers
- Emergency Medical Treatment and Active Labor Act (EMTALA)
- Medicare Notices of Non-Coverage
- Update your Point of Contact
- Become a Physician Reviewer
- Quality Improvement Programs (QIPs)
Hospital Data Collection, Reporting and Validation
As part of the Medicare Beneficiary Protection Project, Ohio KePRO helps Ohio hospitals to accurately abstract data related to the quality measures that focus on inpatient processes, outpatient processes, mortality rates, and patient satisfaction topics, and to submit the information to a national data warehouse on schedule.
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