Aging Health Matters Kepro QIO Communications

SUMMARY
As a contractor for Medicare, Kepro serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Kepro provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. 

This episode is a conversation with our guest from the Senior Medicare Patrol (SMP), Renee Labrie-Shanks. She will talk about how the SMP helps fight Medicare fraud and what Medicare beneficiaries can do to protect themselves.

Renee Labrie-Shanks has been employed at Missoula Aging Services since 2001 and runs the statewide Montana SMP Program since 2006.  She has served on the Board of the Montana Gerontology Society, the State Health Insurance Assistance Program Advisory Council, the State Information & Assistance Planning Committee, the Chamber Health Committee, and currently serves on the AARP Executive Council. 

For more information about Kepro BFCC-QIO, please visit www.keproqio.com.

KEY TOPICS
01:13 Overview, introduction of guest, Renee Labrie-Shanks
02:40: Introduction of the SMP program and how they help people with Medicare.
04:12: Examples of when someone would contact the SMP program.
06:40: What happens when fraud is found?
10:09: Information about fraud from telemarketers.
14:40: Additional information about SMP and Kepro.

SUBSCRIBE
Subscribe to our newsletters: Case Review Connections, On the Healthcare Front: https://keproqio.com/newsletters.aspx

RESOURCES

Information for stakeholders: www.keproqio.com/partners
Information for people who have Medicare: https://keproqio.com/bene/
Information about the SMP program: https://www.smpresource.org/


Music: Motivational Upbeat Corporate by RinkevichMusic
https://soundcloud.com/rinkevichmusic
Video Link: https://youtu.be/U78mgVaM12M

SUMMARY
As a contractor for Medicare, Kepro serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Kepro provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. 

This episode is a conversation with our guest from the Oklahoma Long-Term Care Ombudsman, Bill Whited. He will talk about the services that their organization offers for Medicare beneficiaries.
Bill serves as the State Long-Term Care Ombudsman for the State of Oklahoma and is responsible for administering the Oklahoma’s Long-Term Care Ombudsman network and systems and legislative advocacy for Oklahoma’s long-term care residents. He has more than 25 years of experience in the development and delivery of aging, mental health, juvenile justice, and human services programs in Oklahoma. His background includes over two decades of service with the Oklahoma Department of Human Services, including service as an Adult Protective Services investigator before becoming a Long-Term Care Ombudsman in 2003.

For more information about Kepro BFCC-QIO, please visit www.keproqio.com.

KEY TOPICS
01:37: Overview, introduction of guest, Bill Whited
03:17: Introduction of Long-Term Care (LTC) Ombudsman Program.
07:00: Examples of when someone would contact the LTC Ombudsman Program.
11:01: How volunteers help staff the LTC Ombudsman Program.
16:30: More information about accessing Kepro’s services and podcasts.

SUBSCRIBE
Subscribe to our newsletters: Case Review Connections, On the Healthcare Front

RESOURCES

BFCC-QIO Information for stakeholders: www.keproqio.com/partners

BFCC-QIO Information for people who have Medicare: www.keproqio.com/bene

Oklahoma Long-Term Care Ombudsman Program: https://oklahoma.gov/okdhs/services/cap/ombudsman.html

Find the Long-Term Care Ombudsman Program in your state: https://theconsumervoice.org/get_help

Information about the Long-Term Care Ombudsman program: https://acl.gov/programs/Protecting-Rights-and-Preventing-Abuse/Long-term-Care-Ombudsman-Program

Music: Motivational Upbeat Corporate by RinkevichMusic
https://soundcloud.com/rinkevichmusic
Video Link: https://youtu.be/U78mgVaM12M

SUMMARY
As a contractor for Medicare, Kepro serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Kepro provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare.

This episode talks about how the appeals medical record review process works. We have two guests today, who work at Kepro, Dr. Jessica Whitley, who is the Chief Medical Officer, and Rose Hartnett, the Director of Operations in the appeals department.

For more information about Kepro BFCC-QIO, please visit www.keproqio.com.

KEY TOPICS
01:58: Overview, introduction.
02:30: What is a medical record review and how the process works.
06:35: How you can be more engaged in your health care.
12:30: Things peer reviewers are looking for when they make determinations.
18:40: Getting your questions answered.
19:10: How Immediate Advocacy can help you, if your appeal is denied.
SUBSCRIBE
Subscribe to our newsletters: Case Review Connections, On the Healthcare Front

RESOURCES
Read about appeals: https://keproqio.com/bene/appeal.aspxWatch a video about appeals: www.youtu.be/9q2TKqX0N6kImmediate Advocacy services: www.keproqio.com/ImmediateAdvocacyInformation for stakeholders: www.keproqio.com/partnersInformation for people who have Medicare: www.keproqio.com/bene 
 
Music: Motivational Upbeat Corporate by RinkevichMusic
https://soundcloud.com/rinkevichmusic
Video Link: https://youtu.be/U78mgVaM12M

SUMMARY
As a contractor for Medicare, Kepro serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Kepro provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare.

This episode includes one of our partnering organizations, the State Health Insurance Assistance Program, also known as SHIP for short. We are happy to bring you a conversation between Kia Weaver, a member of Kepro’s Outreach team, and her guest from SHIP, Shirley Thomas.

Shirley is a certified SHIP Medicare Counselor. She was originally a licensed Medical Social Worker, in the state of Ohio. She moved to Georgia in 2009, and in 2010 she started volunteering with The GeorgiaCares Program. She has been with the program for 12 years.

For more information about Kepro BFCC-QIO, please visit www.keproqio.com.

KEY TOPICS
01:58 Overview, introduction.
02:20: Introduction of guest, Shirley Thomas
03:00: How SHIP helps people who have Medicare
04:00: How to find your local SHIP
04:40: Review of Medicare summary notice and explanation of benefits
05:50: Helpful tips, how SHIPs work with other stakeholders
11:00: Working with the Senior Medicare Patrol (stakeholder)
13:35: Resources

SUBSCRIBE
Subscribe to our newsletters: Case Review Connections, On the Healthcare FrontRESOURCES
Find your local Senior Health Insurance Assistance Program (SHIP): https://www.shiphelp.org/Senior Medicare Patrol: https://www.smpresource.org/ KEPRO’S WEBSITE
Immediate Advocacy services: www.keproqio.com/ImmediateAdvocacyInformation for stakeholders: www.keproqio.com/partnersInformation for people who have Medicare: www.keproqio.com/bene
Music: Motivational Upbeat Corporate by RinkevichMusic
https://soundcloud.com/rinkevichmusic
Video Link: https://youtu.be/U78mgVaM12M

SUMMARY
As a contractor for Medicare, Kepro serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Kepro provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare.

One of the topics that Kepro works with quite a bit and partner to provide information on is caregiving for those with Medicare. This podcast episode coincides with National Caregiver Month, and we are happy to bring you a conversation between Nancy Jobe, one of Kepro’s Outreach Specialists, and two of her partners who will serve as her guests. Nadine Walter from Oklahoma and Gabe Goeres from Montana are speaking about caregiving programs that are in their states and may be available for you as well.

Gabe Goeres was born and raised in Montana. He has spent 12 years working with at-risk youth in the foster care system in Missoula, and five years managing group homes. In his role as care management program manager at Missoula Aging Services, he continues to serve his community.

Nadine Walter began her career in the field of gerontology in 1990 at an Area Agency on Aging in Duncan, OK. She advanced to the state office, OKDHS Community Living, Aging and Protective Services, where she has monitored Area Agencies on Aging; served as the senior housing and legislative liaison; developed and interpreted policies and procedures; and developed the State Plan on Aging. Currently, Nadine oversees several federal and state funded grants that provide supports and resources to individuals with special needs and their family caregivers.

For more information about Kepro BFCC-QIO, please visit www.keproqio.com.

KEY TOPICS
01:30 Overview, introduction.
05:00: What is caregiving?
06:15: Who are caregivers?
08:40: Challenges of caregiving.
10:15: What does respite mean? Respite programs.
12:10: Memory loss programs.
18:30: Advice for caregivers.
21:45: Resources

SUBSCRIBE
Subscribe to our newsletters: Case Review Connections, On the Healthcare Front
RESOURCES
Area Agencies on Aging: https://eldercare.acl.gov/Public/Resources/Topic/Caregiver.aspxThe National Alliance for Caregiving: https://www.caregiving.org/Caregiver’s Conference: https://coalitionofcaring.org/KEPRO’S WEBSITE
Immediate Advocacy services: www.keproqio.com/ImmediateAdvocacyInformation for stakeholders: www.keproqio.com/partnersInformation for people who have Medicare: www.keproqio.com/bene
Music: Motivational Upbeat Corporate by RinkevichMusic
https://soundcloud.com/rinkevichmusic
Video Link: https://youtu.be/U78mgVaM12M

As a contractor for Medicare, Kepro serves as the Beneficiary and Family Centered Care Quality Improvement Organization, also referred to as a BFCC-QIO. While Kepro provides BFCC-QIO services in 29 states, the general information is relevant to everyone who has Medicare (including Medicare Advantage) and everyone who works with people who have Medicare. 
This episode is about health literacy. We'll talk about what a Beneficiary and Family Centered Care Quality Improvement Organization does for Medicare patients to better understand some of the elements of their care, explaining and communicating clearly some of the medical issues that they've been through and some of the problems that they have faced.

For more information about Kepro BFCC-QIO, please visit www.keproqio.com.

SUBSCRIBE
Subscribe to our newsletters: Case Review Connections, On the Healthcare Front


RESOURCES
Immediate Advocacy: www.keproqio.com/ImmediateAdvocacy
Information for stakeholders: www.keproqio.com/partners
Information for people who have Medicare: https://keproqio.com/bene/
 
Music: Motivational Upbeat Corporate by RinkevichMusic
https://soundcloud.com/rinkevichmusic
Video Link: https://youtu.be/U78mgVaM12M