URAC Accreditation for Health Utilization Management

Medicare Beneficiary Protection

Ten years logo

Celebrating 10 Years of Quality Improvement


This year marks Ohio KePRO’s 10-year anniversary of collaborating with healthcare providers in the Medicare quality improvement program! Visit our 10th Anniversary page to read more.


People who have Medicare or a Medicare Advantage Plan are guaranteed certain rights
and protections
.


You have the right to:


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. Adobe PDF file


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


For Healthcare Providers



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.


Other Quality Improvement Projects