Medicaid In-Home Services Programs, Department of Public Health And Human Services : Performance Audit 1998
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In our eReader you can find the full English version of the book. Read Medicaid In-Home Services Programs, Department of Public Health And Human Services : Performance Audit 1998 Online - link to read the book on full screen. Our eReader also allows you to upload and read Pdf, Txt, ePub and fb2 books. In the Mini eReder on the page below you can quickly view all pages of the book - Read Book Medicaid In-Home Services Programs, Department of Public Health And Human Services : Performance Audit 1998
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Providers can submit bills for a day, a week, two weeks, a month or any other period they desire. As a result, it is not possible to generate a report hsting providers who submitted claims with amounts in excess of the weekly limits. If providers were required to submit personal assistance claims on a weekly basis, the bureau could generate a report to determine which agencies are billing in excess of the weekly limits.
Page 33 Chapter IV - Personal Assistance Services Program The Medicaid Mana...gement Information System (MMIS) is used by the fiscal intermediary to process personal assistance claims. As currently programmed, the system uses a "rolling" weekly span for Medicaid claims. As a result of the "rolling" span, a provider can submit for a week of services beginning January 1 and submit for a week of services beginning January 4, and be paid for both. The system does not have a control to flag claims which are submitted for overlapping weeks. A random review of provider claims by bureau staff could be used to identify these types of claims.
What to read after Medicaid In-Home Services Programs, Department of Public Health And Human Services : Performance Audit 1998?
You can find similar books in the "Read Also" column, or choose other free books by Montana. Legislature. Legislative Audit Division to read onlineMoreLess
To quickly assess the difficulty of the text, read a short excerpt:
Providers can submit bills for a day, a week, two weeks, a month or any other period they desire. As a result, it is not possible to generate a report hsting providers who submitted claims with amounts in excess of the weekly limits. If providers were required to submit personal assistance claims on a weekly basis, the bureau could generate a report to determine which agencies are billing in excess of the weekly limits.
Page 33 Chapter IV - Personal Assistance Services Program The Medicaid Mana...gement Information System (MMIS) is used by the fiscal intermediary to process personal assistance claims. As currently programmed, the system uses a "rolling" weekly span for Medicaid claims. As a result of the "rolling" span, a provider can submit for a week of services beginning January 1 and submit for a week of services beginning January 4, and be paid for both. The system does not have a control to flag claims which are submitted for overlapping weeks. A random review of provider claims by bureau staff could be used to identify these types of claims.
What to read after Medicaid In-Home Services Programs, Department of Public Health And Human Services : Performance Audit 1998?
You can find similar books in the "Read Also" column, or choose other free books by Montana. Legislature. Legislative Audit Division to read onlineMoreLess
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