Keystone Peer Review Organization (KePRO), a subsidiary of the Pennsylvania Medical Society, is the nation's largest Medicare Quality Improvement Organization and offers various management solutions designed to enhance the efficiency and quality of health care. Services include:
Utilization Management: KePRO provides peer review and health care assessment services for both managed care and fee-for-service programs to help control escalating medical costs while ensuring the delivery of quality health care.
Case Management: KePRO employs certified case managers and vocational specialists to follow cases from pre-admission review through discharge, providing clients with expert oversight, accurate determinations, and continuity of service.
Claims Review: KePRO provides case-specific claims review mechanisms such as re-pricing, bill auditing, and fee negotiation — designed to contain costs while enhancing quality of care.
Contact Information:
KePRO
777 East Park Drive
P.O. Box 8310
Harrisburg, PA 17105
Phone: (717) 564-8288
Fax: (717) 564-3862