iEXCHANGE Setup Questions
3871B/Long Term Care Questions
iEXCHANGE Processing/Operational Information
Appeals and Physician Review Process

 
iEXCHANGE Setup Questions
FAQ ID: 21
Question:  Can a bridge be built from an internal UR system?
Answer:  Depending on your clinical system, this may be possible.Several systems have interfaces in place. Check with your respective vendors to see if they have interfaces with MEDecision.

FAQ ID: 22
Question:  Any limit to number of iEXCHANGE users?
Answer:  There is no limit to the amount of iEXCHANGE users.

FAQ ID: 23
Question:  Do we have to retype or can we copy and paste in the notes?
Answer:  You may copy and paste

FAQ ID: 24
Question:  If we currently use iEXCHANGE for CareFirst or Virginia KePRO, do I need a new username and password?
Answer:  You can use the same username and password.You will just need to select State of Maryland under payer Your iEXCHANGE administrator can customize the screens to best meet your needs.

FAQ ID: 25
Question:  Does everyone in the facility use the same ID and passwords to access.
Answer:  No, there are three log in boxes required in iEXCHANGE. The 1st and 3rd fields (User ID and Password) are unique to each staff and/or iEXCHANGE Administrator user. The 3rd box is the iEXCHANGE ID which will be the same ID number for everyone in the facility.

FAQ ID: 26
Question:  We are very interested in registering for iExchange, how do we do this? How will User IDs and Passwords be assigned?
Answer:  If you do not have an iEXCHANGE account, KePRO is establishing an account for you and will contact you via e-mail or phone with login information prior to February 1, 2007. Once an account and log in information is established, each facility will be able to set up and customize their iEXCHANGE account with their submitting provider, facility, and attending physician information. Also, the facility will be able to set up staff accounts. The step by steps for this process is outlined in the i

FAQ ID: 27
Question:  My facility already has an iEXCHANGE account already. Do we need to do anything else prior to 2/1/07 in order to be able to use do inpatient precert
Answer:  No further action will be needed prior to 2/1/07. Current users will not see the KePRO payer selection “State of Maryland Medicaid ” in a drop down list until February 1st for go-live.

3871B/Long Term Care Questions
FAQ ID: 54
Question:  Can the 3871b be faxed? Does PASRR need to be faxed?
Answer:  Yes, the 3871b can be faxed. It can also be entered into iEXCHANGE. The PASSR needs to be faxed at this point in time. Intime, the goal is to build this into iEXCHANGE.

FAQ ID: 55
Question:  For InterQual do we need both SI & IS?
Answer:  For a case coming in initially both I/S and S/I are needed; ongoing is needed.

FAQ ID: 56
Question:  Does KePRO process ER visits?
Answer:  No, KePRO does not process ER visits that are not admitted. KePRO also does not process outpatient visits.

FAQ ID: 57
Question:  Can clinical be put in later?
Answer:  Clinical information should be out in initially and at the same time a case is entered. it is recommended that one person enter and complete the case

FAQ ID: 58
Question:  Is attending physician a required field?
Answer:  It is, but if not available, you can enter 999999999 (nine 9’s)

FAQ ID: 59
Question:  Most in our facility are using iEXCHANGE, should I set our UR department up?
Answer:  We would recommend that U.R. departments be set up on iEXCHANGE

FAQ ID: 60
Question:  I work in an acute rehab facility; how do we obtain level of care for MA Pending patients to go to lower level of care i.e. SNF? KePRO stated the pat
Answer:  Temporary ID numbers will be issued for MA pend patients needing NF level of care. Instructions for this process can be found in the iEXCHANGE Step by Steps Manual for the 3871B process located at www.kepro.org; click the Hunt Valley, Maryland link; click iEXCHANGE. By using these temporary ID numbers you will be able to submit and complete a 3871b.

FAQ ID: 61
Question:  My question pertains to the 3871. Parts C & D have not needed to be completed for pediatric patients. We merely indicate that the patient is pediatric
Answer:  Currently the 3871 requires completion of all sections on the form. We are exploring in the near future a pediatric version of this form for provider use.

FAQ ID: 62
Question:  What do we do about supplying goals to your Internet 3871 form when we get them from the transfer facility in written form?
Answer:  They are faxed in and will be attached to the beneficiary file.

FAQ ID: 63
Question:  When will the 3871 be loaded so we can see it prior to the go live date in February?
Answer:  The week of January 29th.


 
iEXCHANGE Processing/Operational Information
FAQ ID: 28
Question:  With a treatment update in iEXCHANGE, is that specific to user or facility?
Answer:  Facility

FAQ ID: 29
Question:  What’s the process for submitting additional information needed?
Answer:  Depending on how we receive the information, you can either enter as a note in iEXCHANGE or send via fax to KePRO.

FAQ ID: 30
Question:  What can we submit through iEXCHANGE?
Answer:  The following reviews can be submitted through iEXCHANGE: elective admission preauthorization, emergency admission, retroactive eligibility reviews, retrospective 3808 processing and medical eligibility reviews. Depending on the review type forms such as the 3808’s and 3871’s and 3871b’s will be accessible through iEXCHANGE for data capture. Or, you can fax information to KePRO. If faxing, you can use existing 3808 and 3871b. in addition, you can download forms from our website: www.kepro.o

FAQ ID: 31
Question:  Pre-auth for elective procedure, aren’t these days given up front?
Answer:  Yes they are; however, if patient remains in hospital, a date for concurrent review submission will be provided by KePRO at the time of pre-auth.

FAQ ID: 32
Question:  If a physician faxes in and there is additional information needed, how is this communicated back to physician offices?
Answer:  Fax back to physician’s office

FAQ ID: 33
Question:  Can we find a specific patient instead of entire list of patients?
Answer:  Yes, search by member id. this will provide a detailed list of cases

FAQ ID: 34
Question:  Where do we document review date is due?
Answer:  In iEXCHANGE notes if submitted electronically, or via fax is submitted via fax

FAQ ID: 35
Question:  What is the case ID #?
Answer:  This is an unique 9-digit internal tracking number. It shows that a case has been submitted to KePRO. We will need this for 3808 processing if a patient admission has been submitted.

FAQ ID: 36
Question:  Where is the social security number?
Answer:  his is not required in KePRO’s system since we will be receiving eligibility files. You will use Medicaid #, or name and date of birth

FAQ ID: 37
Question:  How is information sent to the state and how do we get it back?
Answer:  KePRO submits daily uploads of files to the state based on what has been processed for each day. The state will continue with their existing process.

FAQ ID: 38
Question:  What do we do with supporting documentation like 1288?
Answer:  Supporting documentation can be faxed in. Forms will be available on www.kepro.org. Most existing forms can be used and also submitted. In time, additional forms will be built into iEXCHANGE.

FAQ ID: 39
Question:  On a retro if Medicaid becomes effective during hospital is the process still the same?
Answer:  Handle this as a retro case; the policy has not changed.

FAQ ID: 40
Question:  When building a case 3808 and it is pending, can we fax the extra clinical or must we put in iEXCHANGE?
Answer:  It is desired to post in iEXCHANGE, but information can be faxed.

FAQ ID: 41
Question:  What if MD Medicaid is established after stay has begun?
Answer:  Start review process from that date as long as the recipient has an active Medicaid #

FAQ ID: 42
Question:  John Doe patient when do we submit?
Answer:  Submit this to KePRO with supporting information documenting reasons for not knowing status initially. This can either be documented in iEXCHANGE notes or faxed. We will work with DHMH to address on a case by case basis.

FAQ ID: 43
Question:   We are not an acute facility, but a chronic specialty. If we have a same day-non-emergent admit with clinical, how would we get a level the same day?
Answer:  A level of care can be obtained by submitting the 3871 via iExchange or Fax. The 3871 is available on KePRO’s website to download. If a level of care is not obtained prior to the admission, a retrospective level of care will be provided for chronic. It is preferred that the information is submitted prior to admission so that an authorization can be generated.

FAQ ID: 44
Question:  Could you tell me if the same documents will be reviewed? Better yet please list the forms / information your reviewers will need to access. Our facil
Answer:  Basically all information provided to the previous contractor during the onsite review will need to be available to KePRO staff. The forms remain the same. Any needed forms can be accessed via KePRO web at www.kepro.org; click the Hunt Valley, Maryland link.

FAQ ID: 45
Question:  What will your Advisory Level Of Care Process be?
Answer:  The provider will notify KePRO that an Advisory level of care is needed. The 3871b should be faxed in or submitted through iExchange. There is a $30 fee for completing this process.

FAQ ID: 46
Question:  I wanted to know if the fax confirmation with the assigned level of care will look the same as the current level with a different letterhead. If not,
Answer:  It will look similar but with a KePRO letterhead.

FAQ ID: 47
Question:  What is the turnaround time of approvals for Chronic levels and NFS levels so that discharge planners can have a expected time frame?
Answer:   For NF levels, if scoring meets, it will have automatic approval. The reimbursement level of care will be faxed back either later that day or next business day. Chronic level of care and NF’s that require additional information will be reviewed once the additional information is available and is either approved or referred for Physician Advisor review. This time frame will vary.

FAQ ID: 48
Question:   I would like to obtain a copy of the DHMH Transmittal that is currently being used for medical eligibility for nursing home level of care eligibility
Answer:  DHMH transmittals are available on the DHMH website. The weighting tool that is used for ranking the 3871b is not available.

FAQ ID: 49
Question:  Is there anything special that we need to do when we fax our information? AND How will we be notified of the determination (whether or not the clien
Answer:  No, either pick the Long Term Care fax number or Acute (whichever is appropriate for your facility). You will be notified of determination via fax back.

FAQ ID: 50
Question:  Will entering our admits via iEXCHANGE eliminate the authorizations we get now from the Delmarva Foundation for Maryland Medicaid recipients?
Answer:  Yes, KePRO is replacing Delmarva as the contractor for authorization for Maryland Medicaid Recipients.


 
Appeals and Physician Review Process
FAQ ID: 51
Question:  Does the process for appeals change?
Answer:  This process will remain the same as it is today.

FAQ ID: 52
Question:  Is our medical director in M-F?
Answer:  Yes, we will have a medical director available Monday-Friday 8am-5pm.

FAQ ID: 53
Question:  What is the peer review schedule?
Answer:  If information is complete, this is generally completed within 24 hours


 

 Home | About Us | Physician Reviewer Career Center
Media Center | Contact Us | Privacy Policy | Conditions of Use