NAMPI Member Portal | Kimberly Pierson | Activity https://member.nampi.net/members/kpiersodhs-state-ia-us/activity/ Activity feed for Kimberly Pierson. Thu, 30 Apr 2026 13:48:24 -0400 https://buddypress.org/?v=2.14.4 en-US 30 hourly 2 155aa0932502540c7a6cb201937724ca Kimberly Pierson started the discussion Survey: Non-Fraud Related Medicaid Overpayment Recovery Period in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/survey-non-fraud-related-medicaid-overpayment-recovery-period/ Thu, 07 Dec 2023 17:19:26 -0500 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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]]> 8e55405f0df6915ef1cc60744129cdc6 Kimberly Pierson started the discussion EVV Compliance- Required Use of EVV by Home Health Agencies in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/evv-compliance-required-use-of-evv-by-home-health-agencies/ Thu, 29 Jun 2023 23:20:13 -0400 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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]]> 027b5a98c4c9e7dc757b0c70363781a2 Kimberly Pierson replied to the discussion Prepayment Review in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/prepayment-review/#post-1905 Tue, 14 Feb 2023 21:02:16 -0500 Reply to Prepayment Review

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.

]]> d8d8bf22015041ab4e9535ddeb86c4bf Kimberly Pierson replied to the discussion Payment Suspension against 1 provider in group practice in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/payment-suspension-against-1-provider-in-group-practice/#post-1904 Tue, 14 Feb 2023 20:57:25 -0500 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…

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