KEPRO Extends Use of InterQual to Support Clinical Excellence in Utilization and Quality Reviews

KEPRO Extends Use of InterQual to Support Clinical Excellence in Utilization and Quality ReviewsToday we announced that KEPRO (Keystone Peer Review Organization, Inc.) will continue its use of InterQual for utilization and quality reviews. KEPRO is one of only two Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIOs) charged by the Centers for Medicare & Medicaid Services (CMS) to audit short-stay claims. As part of the new long-term agreement, KEPRO will use InterQual for review of two-midnight short stays on behalf of CMS, in addition to quality reviews for its state Medicaid contracts and commercial lines.

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