Monday, May 19, 2014
OHIO-BASED FIRM TO TAKE OVER MEDICARE CASE REVIEW IN TEXAS
Medicare has separated the program’s case review and monitoring activities from the traditional quality improvement undertakings of its Quality Improvement Organizations (QIO) and has contracted with two firms to perform the reviews nationally. Although KePRO will take over that activity in Texas from TMF Health Quality Institute, the Ohio firm promises it will continue to use Texas physicians to conduct the reviews. (Note that TMF did not bid on that contract.) The feds expect to announce in July the awarding of additional contracts for firms to work with physicians and hospitals on improving the quality of care they provide. Both changes will be effective Aug. 1.
Posted by Steve Levine at 1:05 PM