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Kepro is the Beneficiary and Family Centered Care Quality Improvement Organization (also referred to as the BFCC-QIO) for 29 states. One of the responsibilities of the Medicare BFCC-QIO is to perform hospital discharge and skilled service termination appeals for Medicare beneficiaries who feel their care is ending too soon. Appeals affect a variety of Medicare providers, including hospitals, acute rehabilitation facilities, long-term acute care hospitals, critical access hospitals, skilled nursing facilities, home health agencies, hospices, and outpatient rehabilitation facilities. The appeals process can be confusing to healthcare providers, and Kepro hopes to provide information to its healthcare partners in order to reduce any confusion. Kepro has identified that there are educational opportunities for providers based on tracking and trending of appeal data from June 8, 2019, through April 30, 2020. Data analysts have noted several states with a high volume of appeal review denials.