Colorado Health First Rac Lookback

Listing Websites about Colorado Health First Rac Lookback

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Colorado Recovery Audit Contractor (RAC) Program

(3 days ago) WEBThe RAC vendor will audit the following types of claims: Health First Colorado fee-for-service, waiver services, managed care, and Child Health Plan Plus (CHP+) claims. …

https://hcpf.colorado.gov/recovery-audit-contractor-rac-program

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Health First Colorado Recovery Audit Contract

(3 days ago) WEB4.Health First Colorado RAC Scope and Process 5.Resources 6.Question and Answer 2. Introductions 3. Health First Colorado RAC Summary 4. Background on the Recovery …

https://f.hubspotusercontent10.net/hubfs/1060/Landing%20Page%20Files/resources.hms.com-state-colorado-rac/CO%20RAC%20Overview%20Presentation_12012017.pdf

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Provider Bulletin Mar. - Colorado

(1 days ago) WEBHealth First Colorado Recovery Audit Contractor (RAC) Health Management Systems, Inc. (HMS) has been contracted to serve as the Recovery Audit Contractor (RAC) to …

https://hcpf.colorado.gov/sites/hcpf/files/Health%20First%20Colorado%20News%20and%20Updates%20%28B2100460%20-%20March%202021%29.pdf

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Recovery Audit Contract (RAC) Program …

(9 days ago) WEBProvider rebills LOC claims once they receive the initial overpayment notice. Step 1: Medical records requested & reviewed. HMS determines if there is an overpayment. …

https://hcpf.colorado.gov/sites/hcpf/files/RAC_0001_Program%20Update_092123.pdf

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Health First Colorado - Colorado's Medicaid Program

(6 days ago) WEBThe Health First Colorado website and public messaging are made possible through grants from the Colorado Health Foundation and Caring for Colorado Foundation. …

https://www.healthfirstcolorado.com/

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Health First Colorado Provider Bulletin B2300501

(1 days ago) WEBContract (RAC) stakeholder webinar. This quarterly meeting will take place via Zoom on Thursday, November 2, 2023, at 12:00 p.m. MT. Register. in advance for this webinar.

https://hcpf.colorado.gov/sites/hcpf/files/Bulletin_1123_B2300501_0.pdf

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Colorado Recovery Audit Contract (RAC) Invitation to …

(3 days ago) WEBThe Colorado Department of Health Care Policy and Financing (HCPF) would like to invite all Health First Colorado Providers to a Recovery Audit Contractor (RAC) Stakeholder …

https://hcpf.colorado.gov/sites/hcpf/files/RAC%20Stakeholder_Engagement_February_1_2024_Meeting_Flyer_Website.pdf

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Health First Colorado Provider Bulletin B2300502

(9 days ago) WEBContact the Magellan Rx Management Pharmacy Call Center at 1-800-424-5725 with questions. regarding pharmacy claims processing. Visit the Pharmacy Resources web …

https://hcpf.colorado.gov/sites/hcpf/files/Bulletin_1223_B2300502.pdf

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Medicaid Recovery Audit Contractor (RAC) Issue Summary

(6 days ago) WEBReduce the length of the lookback period to three years and limit the number of records the RAC contractor may request • Federal law provides for a limited …

https://cha.com/wp-content/uploads/2023/03/3.7.23-RAC-Audit-Leg-Proposal.pdf

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July 20, 2023 - Colorado General Assembly

(7 days ago) WEBAlso, the Affordable Care Act (ACA) has a 6-year lookback period for false claims and a 5-year lookback for fraud, so 7 years is similar to these. Prior to the ACA, …

https://leg.colorado.gov/sites/default/files/hcpf_rac_responses_to_bidder_inquiries_7-20-2023.pdf

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Colorado Recovery Audit Contract HMS Provider Portal Training

(7 days ago) WEBHealth Management System, Inc. (HMS) is the Recovery Audit Contractor (RAC) for the State of Colorado Department of Healthcare Policy and Financing (Department). HMS …

https://f.hubspotusercontent10.net/hubfs/1060/Landing%20Page%20Files/resources.hms.com-state-colorado-rac/HMS-RAC-Provider-Portal-Training_2019.pdf

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Colorado Office of the State Auditor - Colorado General …

(2 days ago) WEB• HCPF allows its RAC to examine claims for up to years (known as the lookback 7 period) from the paid date of the claim, rather than 3 years. • HCPF does …

https://leg.colorado.gov/sites/default/files/rfp_for_review_of_hcpf_rac_program_7-5-2023.pdf

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Support HB 23-1295: Medicaid RAC Audit Reforms

(2 days ago) WEBMedicaid RAC audits (42 CFR § 455.508(f)), states have significant leeway to alter programs at the state level. Colorado’s aggressive approach to Medicaid RAC audits …

https://cha.com/wp-content/uploads/2023/07/RAC-Audit-One-Pager-1-6-1.pdf

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Continuing Legal Education (CLE) - Colorado Hospital …

(1 days ago) WEB• Make sure your name on your Zoom screen includes first and last (no phone numbers) •Recovery Audit Contractor (RAC) look back audits can extend seven •The …

https://cha.com/wp-content/uploads/2022/03/Polsineli-CHA-Hospital-Medicaid-Update-Feb-1.pdf

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Medicare Recovery Audit Contractor Program - FAH

(8 days ago) WEBThe Medicare Recovery Audit Contractor (RAC) Program significantly increased the volume of post-payment reviews conducted on providers, including hospitals, and has been very …

https://www.fah.org/issues-advocacy/medicare/medicare-recovery-audit-contractor-program/

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Colorado Hospital Association (CHA) Document “Medicaid …

(2 days ago) WEBof 2021 the staffing for the Colorado RAC whole Program was 1.0 fully dedicated FTE and increased to 3.0 FTE later that year to handle the effectiveness of the RAC Program and …

https://cha.com/wp-content/uploads/2023/03/LetterToCHA_Re_MedicaidRACIssueSummary_signed.pdf

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Medicaid Recovery Audit Contractor Audits - Colorado Hospital …

(Just Now) WEBCHA One-Pager on HB 23-1295. CHA Issue Brief. HCPF RAC Information. HCPF request email: [email protected]. Meetings/Dates of Note: March 14, …

https://cha.com/policy-advocacy/regulatory-policy/regulatory-issues-by-agency/medicaid-recovery-audit-contractor-audits/

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Fact Sheet Template

(8 days ago) WEBThe Department of Health Care Policy and Financing (Department) and their Recovery Audit Contractor, Health Management Systems (HMS), has completed its analysis of …

https://f.hubspotusercontent10.net/hubfs/1060/Colorado%20RAC%20Documents%202020/co-rac-hospital-tiers-nov2020.pdf.docx

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Find a Doctor - Health First Colorado

(9 days ago) WEBThe Health First Colorado website and public messaging are made possible through grants from the Colorado Health Foundation and Caring for Colorado Foundation.. …

https://www.healthfirstcolorado.com/find-doctors/

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