

Cindi Furlough
State Member-
Cindi Furlough posted an update a year ago
Hello fellow Nampians,
Tennessee is trying to develop a list or table that matches the corresponding citation with the names of the
screenings, registries, etc of each category type, the required frequency
(Initial/Monthly/Annually), and who is required to conduct them, for example,
Subcontractors, Contractors, MCO’s, the State, and/or… -
Cindi Furlough replied to the discussion UPIC Final Findings Report (FFR) in the forum State Only Forum 2 years ago
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Cindi Furlough started the discussion UPIC Final Findings Report (FFR) in the forum State Only Forum 2 years ago
UPIC Final Findings Report (FFR)
Has anyone made it to the point of the UPIC submitting an FFR and disagreed with their findings/was not interested in pursuing their identified overpayment? We received an FFR with a lot of technical denials but the physician reviewer mentioned in the exhibit that the member was eligible for services (hospice). Now that the FFR has been…
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Cindi Furlough replied to the discussion MCO Contracts and Program Integrity in the forum State Only Forum 3 years ago
MCO Contracts and Program Integrity
Hi Mary Kay, Tennessee is actually preparing a presentation on exactly all of what you have listed for the MII Managed Care Symposium on September 7th! If you are unable to attend it, I can send you the presentation when it’s completed to see if it helps any. Also, I will search for your email and send you our Managed Care Program…