53-6-1406. Publication of audit results. 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.
History: En. Sec. 6, Ch. 82, L. 2017.
Structure Montana Code Annotated
Title 53. Social Services and Institutions
Chapter 6. Health Care Services
Part 14. Medicaid Overpayment Audits
53-6-1403. Extrapolation and statistical sampling prohibited -- exceptions
53-6-1404. Peer review of overpayment findings
53-6-1405. Audit completion -- notice of overpayment determination -- opportunity to resubmit claim
53-6-1406. Publication of audit results
53-6-1407. Audit education and training
53-6-1408. Applicability to auditor -- scope