State Member Kimberly Pierson
State Member-
Kimberly Pierson started the discussion Survey: Non-Fraud Related Medicaid Overpayment Recovery Period in the forum State Only Forum a year ago
Survey: Non-Fraud Related Medicaid Overpayment Recovery Period
NAMPI Colleagues,
I received a great recommendation to post this survey to this forum. Iowa Bureau of Program Integrity and Compliance is conducting a survey to collect resources of various state’s authorities relating lookback period for making non-fraud related overpayment recoveries. The survey result will be shared with you if…
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Kimberly Pierson started the discussion EVV Compliance- Required Use of EVV by Home Health Agencies in the forum State Only Forum 2 years ago
EVV Compliance- Required Use of EVV by Home Health Agencies
Iowa would like to connect with states currently in the process of implementing the use of EVV by HHAs. We are interested in state’s challenges and lessons learned, including successes and failures in the implementation process. Please reach out to Iowa if you are interested in participating in this collaboration group by email…
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Kimberly Pierson replied to the discussion Prepayment Review in the forum State Only Forum 2 years ago
Iowa allows MCOs to place providers in a pre-payment status based on their approved policy/processes. Iowa requires MCOs to report all providers placed in prepayment review as part of our reporting requirements.
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Kimberly Pierson replied to the discussion Payment Suspension against 1 provider in group practice in the forum State Only Forum 2 years ago
Reply to Payment Suspension against 1 provider in group practice
In Iowa, if the individual practitioner is credible for fraud, we would issue a payment suspension against the billing NPI, practitioner’s NPI and associated Tax IDs. If the individual practitioner is credible for allegation of fraud and is also the billing and rendering provider, the payment suspension would apply only to the…
