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Provider Audits

Overview

Section 1936 of the Social Security Act obligates the Centers for Medicare & Medicaid Services (CMS) to procure contractors to audit Medicaid claims and identify overpayments. To fulfill this statutory requirement, the Medicaid Integrity Program (MIP) has procured Audit Medicaid Integrity Contractors (Audit MICs) to conduct provider audits throughout the country.

Provider Audit Frequently Asked Questions (FAQs) - Provider Audit FAQs are posted on the CMS Web site. (Click on "Related Links Inside CMS" below.)

Medicaid Integrity Program Provider Audit Fact Sheet - provides information on the national Medicaid audit program to identify overpayments and to decrease the payment of inappropriate Medicaid claims. (Click on "Downloads" below.)

Medicaid Integrity Contractors Procurement and Implementation Timeline - provides procurement status for review & audit MICs. (Click on "Downloads" below.)

Medicaid Integrity Contractors Presentation - provides information on the MICs and the national Medicaid provider audit program. (Click on "Downloads" below.)

Downloads
Medicaid Integrity Program Provider Audit Fact Sheet [PDF,337KB]

Medicaid Integrity Contractors Procurement & Implementation Timeline [PDF,72KB]

Medicaid Integrity Contractors Presentation [PDF,62KB]
Related Links Inside CMS
Provider Audit Frequently Asked Questions (FAQs)
Related Links Outside CMSExternal Linking Policy
There are no Related Links Outside CMS

 

Page Last Modified: 11/16/2011 12:18:41 PM
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