What is a Livanta appeal?
Livanta is Your QIO for Case Review. Appeals • An appeal can be filed if you think your Medicare services are ending too soon. For example, you are told the nursing home is discharging you, but you do not feel healthy enough to leave. • If you wish to file an appeal, call Livanta at 1-866-815-5440.
What is Livanta Medicare?
Medicare Wants to Know Your Healthcare Concerns! Livanta is here to protect your rights. If you are a Medicare recipient, Livanta can help you: Get immediate help in resolving a healthcare concern. Appeal a notice that you will be discharged from the hospital or that other types of services will be discontinued.
What is Livanta llc?
About Livanta LLC: Livanta LLC, established in 2004, is a privately held firm headquartered in Annapolis Junction, MD. The company’s success lies within its team of knowledgeable professionals who are committed to providing excellent service and quality products powered by exceptional IT solutions and data analytics.
What is a BFCC-QIO?
Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO) help Medicare beneficiaries with their concerns about the quality of care they receive from a Medicare provider. BFCC-QIOs provide services to help with complaints and quality of care reviews.
How successful are Medicare appeals?
People have a strong chance of winning their Medicare appeal. According to Center, 80 percent of Medicare Part A appeals and 92 percent of Part B appeals turn out in favor of the person appealing.
How long does Kepro have to make a decision?
The Medicare Advantage plan has information about how to start the appeal process. If you feel you may get worse by waiting too long, you can ask for an expedited appeal. This means the Medicare Advantage plan must make a decision about the appeal within three calendar days.
Who is the QIO for California?
Livanta BFCC
Livanta BFCC-QIO – California.
What does Kepro do?
KEPRO is the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for more than 30 states and offers information and assistance to providers, patients, and families about beneficiary complaints, discharge appeals, Immediate Advocacy, and Patient Navigation.
Why did Medicare deny my claim?
A claim that is denied contains information that was complete and valid enough to process the claim but was not paid or applied to the beneficiary’s deductible and coinsurance because of Medicare policies or issues with the information that was provided.
How many days do you have to appeal a Medicare denial?
60 days
You, your representative, or your doctor must ask for an appeal from your plan within 60 days from the date of the coverage determination. If you miss the deadline, you must provide a reason for filing late.
Is Kepro legitimate?
KEPRO is URAC accredited in case management and health utilization management. It is also National Institute of Standards and Technology (NIST) and Federal Information Security Management Act (FISMA) certified.
Is Kepro a QIO?
As a BFCC-QIO, Kepro helps people who are on Medicare – and their families and caregivers – to file quality of care complaints and hospital discharge and skilled service termination appeals. We also offer Immediate Advocacy services.
