North Carolina General Statutes Chapter 108C. Medicaid and Health Choice Provider Requirements § 108C-5.1. Post-payment review and recovery audit contracts
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The Department shall not pay contingent fees pursuant to any contract with an entity conducting Medicaid post-payment reviews or Recovery Audit Contractor (RAC) audits before all appeal rights have been exhausted. Any contingent fee for Medicaid post-payment reviews or RAC audits shall be calculated as a percentage of the amount of the final overpayment, as defined in G.S. 108C-2(5). The State share of the contingent fee paid for Medicaid post-payment reviews or RAC audits shall not exceed the State share of the amount actually recovered by the Department and applied to the final overpayment.
Cite this article: FindLaw.com - North Carolina General Statutes Chapter 108C. Medicaid and Health Choice Provider Requirements § 108C-5.1. Post-payment review and recovery audit contracts - last updated January 01, 2020 | https://codes.findlaw.com/nc/chapter-108c-medicaid-and-health-choice-provider-requirements/nc-gen-st-sect-108c-5-1.html
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