Report to Congressional Requesters: Medicaid
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The purpose of the CMS PERM program is to produce a national-level improper payment error rate for Medicaid. CMS developed PERM in order to comply with the requirements of IPIA, which was amended by IPERA. PERM uses a 17-state, 3-year rotation for measuring Medicaid improper payments. Medicaid improper payments are estimated on a federal fiscal year basis through the PERM process. The estimate measures three component error rates: (1) fee-for-service (FFS), (2) managed care, and (3) eligibility. FFS is a traditional method of paying for medical services under which providers are paid for each service rendered. Each selected FFS claim is subjected to a data processing review. The majority of FFS claims also undergo a medical review. Managed care is a system where the state contracts with health plans to deliver health services through a specified network of doctors and hospitals. Managed care claims are subject only to a data processing review. Eligibility refers to meeting the state’s categorical and financial criteria for receipt of benefits under the Medicaid program.
yazar | U.S Department of the Interior |
---|---|
Boyutlar ve boyutlar | 21,6 x 0,4 x 27,9 cm |
Tarafından yayınlandı | 3 Ocak 2015 |
Emily Grace 21,6 x 0,3 x 27,9 cm Lina Scatia Kolektif 15,2 x 0,6 x 22,9 cm Komisyon 21,6 x 0,6 x 27,9 cm Pretty Planners 2019-2020 3 Ocak 2015 15,2 x 0,7 x 22,9 cm 18 Haziran 2018 1 Ocak 2017 Dream Darling Journals 21,6 x 0,2 x 27,9 cm 1 Ocak 2015 21,6 x 0,4 x 27,9 cm 1 Haziran 2018 1 Ocak 2018
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Sürüm ayrıntıları
yazar | U.S Department of the Interior |
---|---|
isbn 10 | 1503229033 |
isbn 13 | 978-1503229037 |
Yayımcı | CreateSpace Independent Publishing Platform |
Dilim | İngilizce |
Boyutlar ve boyutlar | 21,6 x 0,4 x 27,9 cm |
Tarafından yayınlandı Report to Congressional Requesters: Medicaid | 3 Ocak 2015 |
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