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Montana Title 53. Social Services and Institutions § 53-6-1406. Publication of audit results

Current as of January 01, 2024 | Updated by Findlaw Staff

At least once a year the department shall publish and make accessible on its website the following information regarding all medicaid overpayment audits:

(1) the number and type of issues reviewed;

(2) the number of medical and other records requested from providers;

(3) the number of audits conducted by provider type;

(4) the number and aggregate dollar amounts of:

(a) overpayments identified;

(b) overpayments collected; and

(c) underpayments identified;

(5) the duration of audits from initiation to completion;

(6) the number of overpayment determinations and the reversal rates of those determinations at each stage of the informal and formal appeal process;

(7) the number of informal and formal appeals filed by providers, categorized by disposition status; and

(8) the auditor's compensation structure and total dollar amount of compensation for underpayments and overpayments.

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Cite this article: FindLaw.com - Montana Title 53. Social Services and Institutions § 53-6-1406. Publication of audit results - last updated January 01, 2024 | https://codes.findlaw.com/mt/title-53-social-services-and-institutions/mt-st-53-6-1406/

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