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Our Solutions

Improving patient outcomes, reducing costs, and achieving return on investment are our priorities. We focus on results and back our work with tangible performance commitments.

KEPRO is a national care management and quality improvement organization, providing innovative and outcomes-focused solutions to reduce unnecessary healthcare utilization and optimize care quality for public and commercial clients. Our holistic, member centric care management solutions go far beyond traditional utilization and case management by coordinating the care provided to members with acute, chronic, and complex conditions across the continuum.

We also identify members who are at the highest risk for future services, but have not yet had an acute event. Tailored programs maximize members’ quality of life and realize greater cost savings for members and clients.

KEPRO is accredited in health utilization management and case management. We are also National Institute of Standards and Technology (NIST) and Federal Information Security Management Act (FISMA) certified.

OUR SERVICES

An integrated approach to care management delivers the highest return on investment, but we also offer our services on an individual basis.

  • Wellness
  • Utilization Management
  • Case Management
  • Specialty Case Management - oncology management, advanced illness management, heart failure management, and maternity management
  • Care Coordination
  • Chronic care management
  • Independent Medical Review and Appeals
  • Quality Oversight/Risk Management.

OUR PROPRIETARY MEDICAL MANAGEMENT SYSTEM

Our proprietary, integrated care management solution transforms traditional, episodic-based care management into proactive and collaborative population healthcare management. Atrezzo™ allows us to collect data at every care touch point, ensuring members get the care they need, when and where they need it.

Atrezzo’s web-based care management application is built using Microsoft technology. Its modular design is easily configurable to meet each client’s unique short and long term requirements for data, information, and intelligence today and in the future. Atrezzo is HIPAA and ICD-10CM/PCS compliant.

INTELLIGENT VALUE

We are flexible, agile, and innovative. We are on a journey to transform medical management and develop customized solutions tailored to your specific business requirements.

Improving patient outcomes, reducing costs, and achieving return on investment are our priorities. We focus on results and back our work with tangible performance commitments.

Deep clinical expertise is at the core of our organization. Our approach to medical management is holistic and compassionate. It is streamlined and coordinated around the patient’s entire health care experience. We are proactive to reduce risk. We focus on efficiency and value.

Data informs our clinical competency. We leverage technology to empower our medical management teams with the analytics to make smart clinical decisions, collaborate with patients, provide personalized care, and improve quality and outcomes. Our systems are scalable, simple-to-use, and seamlessly integrate into complex delivery models.

Great customer service is central to everything we do. We respond with a sense of urgency. We solve problems proactively. Every day our work is founded in intelligence – clinical expertise and data driven insights – to achieve value for you and your members.

Intelligent value.
This is KEPRO.

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Please describe KEPRO data security that ensures member information is protected.

As an organization that is charged with storing and transferring Protected Health Information (PHI), KEPRO is bound by HIPAA regulations, and is accustomed to managing the security and privacy of PHI. KEPRO currently exchanges data successfully and confidentially via secure encrypted means in support of all of our federal, state, and local government programs, and with commercial clients.

KEPRO has been implementing and supporting systems that require medical record, data security, and transmission for more than a quarter of a century, and has always placed primary importance on using systems that allow for fast and efficient connectivity, while still providing the highest level of data and system security. Our proven internal and external policies and protocols ensure compliance with state and federal laws and regulations, as well as any additional security measures you may require.

We have a stringent KEPRO Comprehensive Confidentiality Plan that governs our processes. KEPRO’s Privacy Officer, Security Officer, and the Compliance Officer have ultimate responsibility for oversight of the processes and procedures contained in the KEPRO Comprehensive Confidentiality Plan.

KEPRO's system is secure. Our information systems are secured by an in-depth strategy that utilizes multiple layers of operational, management, and technical controls to protect KEPRO assets. We also employ software programs designed to prevent unauthorized use by staff or outside entities.

All KEPRO information systems employ common security controls such as Firewalls, Anti-virus, Role Based Access, FIPS 140-2 Encryption for mobile devices, and the requirement of strong passwords. Information system users are assigned a security role based upon access requirements relevant to their positions and information/program privileges.

The HIPAA Security Rule requires entities to implement information systems that control access to healthcare and related systems. KEPRO adopts a subset of NIST 800-53 Rev 3 Security controls to maintain compliance with HIPAA. Based on these security standards, KEPRO mitigates risk to its Information system by focusing on such controls as:

  • Log-In Security. HIPAA security requires the use of secure User IDs and the use of passwords. KEPRO requires multiple account authentication processes within its information systems to verify the identities of our end-users. KEPRO's policy requires strong passwords that are changed frequently.
  • Access Control. HIPAA requires one of the following: Context Based Access, Role Based Access, or User Based Access. User Based Access is part of the Log-In Security component. KEPRO's Role Based Access gives individual users access relevant to their function in the organization.
  • Audit Trail. HIPAA requires the use of an audit trail to identify who accesses PHI. KEPRO systems track those who change the patient record, the date and time the record was modified, and the specific information changed. The system includes a read only audit trail that captures each time a system user views a case.
  • Session Time-out. KEPRO information systems account for session inactivity by locking screens after 10 minutes of inactivity.
  • KEPRO's physical space is secure. KEPRO’s computer, telephone, and hardware systems are located in climate controlled rooms with fire-suppression and electronic locking system. We allow only authorized access to the room.
  • KEPRO focuses training on confidentiality and security issues. All KEPRO employees undergo rigorous training on security and confidentiality of PHI. We have successfully provided this training to all staff regardless of their respective roles/duties.

KEPRO Headquarters

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777 East Park Drive, Harrisburg, PA 17111
Toll-free: 800.222.0771
Phone: 717.564.8288
Fax: 717.564.3862