Medicare Case Reviews & Appeals

Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIOs) now manage all beneficiary complaints and quality of care reviews to ensure consistency in the review process while taking into consideration local factors important to beneficiaries and their families. This effort aims to improve the effectiveness, efficiency, economy, and quality of care for Medicare beneficiaries.

KEPRO is the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) in Wisconsin and works to protect the quality and safety of care delivered to Medicare beneficiaries.

Health care providers and Medicare beneficiaries must contact KEPRO toll-free at (855) 408-8557 for all appeal requests and quality of care concerns. TTY users may call (855) 843-4776. All outstanding higher-weighted DRG medical record requests should be mailed to:

5201 W. Kennedy Blvd, Suite 900
Tampa, FL 33609
Fax: (844) 834-7130