Krieg DeVault
Krieg DeVault Health Care Reform

OMPP Beginning Recovery Audits for Inpatient Hospitals in January 2012

Saturday, February 4, 2012 by Meghan McNab

The Indiana Office of Medicaid Policy and Planning (“OMPP”) contracted with Thomson Reuters Healthcare to provide an enhanced fraud and abuse detection system (“FADS”). As a part of FADS, Thomson Reuters has subcontracted HMS to provide independent recovery audit contractor (“RAC”) services in compliance with Section 6411 of the Patient Protection and Affordable Care Act of 2010. HMS will audit provider payments and related financial records to identify and recover or correct Medicaid payments that were overpaid or underpaid. HMS is initially identifying and auditing inpatient hospital providers with outstanding credit balances, and has begun notifying selected providers of upcoming audits. If you have any further questions please contact Meghan Linvill McNab at 317-808-5863 or Kristen L. Gentry at 317-238-6288.

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