

Tammy Amend
State Member-
Tammy Amend replied to the discussion Prepayment Review in the forum State Only Forum 2 years ago
MO uses the PPR for FFS. PPR is one of our sanctions. We can put providers on 100% PPR (review all their claims) or only certain procedure codes, diagnosis codes etc. When placed on PPR they have to submit paper claims and attach the documentation required for the service billed. MO HealthNet Division have consultants that are peers that…