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HealthCare News

Upcoming Request for Medicaid Provider Documentation Under the Payment Error Rate Measurement (PERM) Program

Upcoming Request for Medicaid Provider Documentation Under the Payment Error Rate Measurement (PERM) Program

 

Effective July 1, 2017, the Centers for Medicare & Medicaid Services (CMS), in partnership with the New York State Office of the Medicaid Inspector General (OMIG), will be measuring improper payments in the Medicaid and State Child Health Insurance programs under the Payment Error Rate Measurement (PERM) program. This will be the fourth time New York State will be participating. The State last participated in federal fiscal year 2014.

Documentation for medical review of randomly selected claims will be requested by Chickasaw Nation Industries (CNI) Advantage, LLC, the new CMS review contractor. For more information, read the April 2017 Medicaid Update, Page 8.

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Prolonged Services Without Face-to-Face Contact Now Separately Payable   Beginning January 1, 2017...

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