At least once a year the department shall publish and make accessible on its website the following information regarding all medicaid overpayment audits:
- (1) the number and type of issues reviewed;
- (2) the number of medical and other records requested from providers;
- (3) the number of audits conducted by provider type;
(4) the number and aggregate dollar amounts of:
- (a) overpayments identified;
- (b) overpayments collected; and
- (c) underpayments identified;
- (5) the duration of audits from initiation to completion;
- (6) the number of overpayment determinations and the reversal rates of those determinations at each stage of the informal and formal appeal process;
- (7) the number of informal and formal appeals filed by providers, categorized by disposition status; and
- (8) the auditor's compensation structure and total dollar amount of compensation for underpayments and overpayments.
History: En. Sec. 6, Ch. 82, L. 2017.