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BiPAP and CPAP Improvements

Improvements have been made to the BiPAP and CPAP questionnaires. If your completed questionnaire meets all medical necessity requirements, it will be auto approved. If it does not, our clinical team will review it for medical necessity and will provide you with a determination notification. You may reference the updated questionnaires in our provider reference section.

Posted: 7/2/2014

Psychiatrist Referral Change Notice

Effective immediately, a referral to a psychiatrist may have a maximum of 6 visits per request instead of the original 3 visits. 



Posted: 5/22/2014

Announcements


There are no announcements at this time.


Keystone Peer Review Organization, Inc. (KEPRO), an industry leader in providing innovative, value-added healthcare management solutions, has been awarded the "Medical Management and Services" contract through Hillsborough County's Health and Social Services. The Hillsborough County (HCHCP) contract ensures appropriate, quality-driven care through quality improvement of specified inpatient hospital, medical and surgical services.

Recognized as the largest federally designated Quality Improvement Organization (QIO) in the nation, KEPRO's reputation is a result of providing many years of innovative healthcare management solutions to multiple state Medicaid and Medicare programs, the Department of Defense's (DoD) national TRICARE program, and 5 of the nation's largest insurance providers.

The Internet based system uses InterQual criteria to safeguard against unnecessary or inappropriate use of Medicaid services and provides clients with an enhanced secure system to perform accurate, confidential medical record review through a remote-user, virtual private network.


KEPRO is URAC accredited in Health Utilization Management, Disease Management and Case Management. We are also licensed to perform medical reviews in 29 states.

Atrezzo Connect is available for submission of all requests for HCHCP services. Click the button below to register and login.

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