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The Medical Record Electronic Submission Process for Healthcare Providers Kepro is the Beneficiary and Family Centered Care Quality Improvement Organization (also referred to as the BFCC-QIO) for 29 states. BFCC-QIOs perform quality of care reviews when Medicare beneficiaries have complaints about their medical treatment. They also review hospital discharge and skilled service termination appeals for Medicare beneficiaries who feel their care is ending too soon. This video will go over the medical record electronic submission process that started on October 1, 2020. This process includes both quality of care reviews and hospital discharge and skilled service termination appeals. First lets look at how this requirement came about. Every year, the Centers for Medicare Medicaid Services (also known as CMS) issues a final rule related to payment in the following year. The CMS 2021 Inpatient Prospective Payment System (also known as IPPS) Final Rule included a requirement that providers