Since 1985, KePRO has been providing innovative, customer-focused healthcare management solutions to government and commercial customers. We offer a complete array of automated healthcare management solutions, including:

• Utilization management
  • Prior authorization services
  • Concurrent reviews of care
  • Retrospective reviews of care, including DRG validation
  • Medical necessity determinations
  • Focused reviews
  • Medical claims review and risk management services
  • Appeals, grievances, and administrative hearings
• Medical management
• Disease management
• Demand management

KePRO employs more than 250 highly skilled, dedicated professionals including physicians, registered nurses, and other clinicians in order to deliver optimal and innovative services to our customers. Our peer review panel consists of more than 600 licensed, Board Certified, physicians, chiropractors, and other healthcare professionals throughout the country.

KePRO is committed to providing outstanding customer service and cost containment to each one of our valued customers, as demonstrated by our URAC health utilization management accreditation.

The KePRO Fact Sheet provides further information about the KePRO family of companies.

For more detailed information about KePRO and HealthQuest, please contact our business development department.