April 21, 2017

Update on KePRO Review of Short Stays

Medicare Quality Improvement Organization KePRO recently announced the Centers for Medicare & Medicaid Services (CMS) changed its selection process for reviewing Short Stay medical records, effective April 2017. Previously, smaller providers had a request for ten cases and larger institutions had a request for 25 cases. Now, the top 175 providers with high or increasing number of Short Stay claims will have 25 cases randomly sampled, and other providers that had a "major concern" in the previous round of reviews will have 10 cases randomly sampled. For additional information,  contact Kathy Reep, vice president of financial services, at (407) 841-6230.