Member Vanessa Templeman
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Vanessa Templeman replied to the discussion Provider Self Audit Resources in the forum State Only Forum 2 years ago
Reply to Provider Self Audit Resources
Here is some language from our template letter in AZ:
……. uses data analytics to identify unusual billing patterns among providers within the same specialty and geographic area.
The attached claims/encounters data, submitted under your provider ID, revealed an unusual pattern of billing that may have resulted in an overpayment. You…
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Vanessa Templeman replied to the discussion Unraveling Telehealth in Behavioral Health Webinar Discussion in the forum Open Forum 2 years ago
Reply to Unraveling Telehealth in Behavioral Health Webinar Discussion
Please find Arizona Telehealth policies and breakout of audio only, audio and visual combined, etc. referenced by Dr. Megan Woods during her discussion:
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Vanessa Templeman replied to the discussion MCO Benchmarks in the forum State Only Forum 2 years ago
Happy to share what we outline in our policies. Trying to keep it somewhat high level here but happy to discuss further if needed.
Let me link and share a few things:
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Vanessa Templeman replied to the discussion Favorite background check solution? in the forum State Only Forum 3 years ago
Reply to Favorite background check solution?
Here in AZ we use TLO, Asset Verification, Skip tracing, etc. Not sure if this is the type of information you were looking for.
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Vanessa Templeman started the discussion Jury Acquits Men on All Counts of Medicaid Fraud in the forum State Only Forum 3 years ago
Jury Acquits Men on All Counts of Medicaid Fraud
Sharing the article I came across, curious if anyone else has something similar, or other items worth reading?
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Vanessa Templeman started the discussion Read if you are from PA, WV, MD, VA,DE, or DC in the forum State Only Forum 3 years ago
Read if you are from PA, WV, MD, VA,DE, or DC
NAMPI Region 3 has no representative! The previous representative left state service a few months ago and this region is currently missing out on several NAMPI items. If you are from any of the state of Region 3 (PA,WV,MD,VA,DE,DC), and are interested in being the Regional Representative, please let me know. You will need to have…
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Vanessa Templeman replied to the discussion EVV Geo-positioning Legislation in the forum State Only Forum 3 years ago
Reply to EVV Geo-positioning Legislation
Hi Gene, I spoke to our EVV design person and received the following answer:
There is a bill in Congress to remove the location detection. Our contract with Sandata states that we don’t allow geo-tracking, but the system detects location just at the moment the DCW logs in and out. We require the same for the alternate vendors, but do allow…
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Vanessa Templeman replied to the discussion FY 2020 MFCU Comparative Statistical Chart in the forum State Only Forum 3 years ago
Reply to FY 2020 MFCU Comparative Statistical Chart
thought this would be interesting to see
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Vanessa Templeman started the discussion FY 2020 MFCU Comparative Statistical Chart in the forum State Only Forum 3 years ago
FY 2020 MFCU Comparative Statistical Chart
HHS published its MFCU statistical summary for FY2020, which listed the number of indictments obtained by each of the nation’s 53 MFCU’s (including District of Columbia, Puerto Rico, and U.S. Virgin Islands). The rankings are determined by statistical data comparing the number of indictments produced by the number of staff members in each of the…
