News & Analysis as of

Medicaid Contractors

Medicaid is a partnership program between states and the federal government to provide healthcare coverage for lower income individuals, people with disabilities, older people, and certain families with... more +
Medicaid is a partnership program between states and the federal government to provide healthcare coverage for lower income individuals, people with disabilities, older people, and certain families with children.  less -
Husch Blackwell LLP

COVID-19: CMS Green Lights Contractors To Restart Hospice Medical Reviews

Husch Blackwell LLP on

Medical reviews to restart- The Centers for Medicare & Medicaid Services (CMS) medical review activity suspended due to COVID-19 is set to restart on August 3, 2020, regardless of the public health emergency status....more

Williams Mullen

MMIS and NCTracks: New is Not Always Better

Williams Mullen on

New is not always better. In December 2008, the Department of Health and Human Services (DHHS) awarded a contract to Computer Sciences Corporation (CSC) to develop and implement a replacement billing system for Medicaid...more

King & Spalding

GAO Calls For Consistency Among Medicare Contractors Postpayment Claims Review

King & Spalding on

The U.S. Government Accountability Office (GAO) recently published the results of a study examining the effectiveness of CMS’s contractors that conduct postpayment claims reviews to identify improper payments (i.e., Medicare...more

King & Spalding

CMS Announces New Unified Program Integrity Contractors

King & Spalding on

CMS recently announced plans to implement a new Medicare and Medicaid program integrity contractor, Unified Program Integrity Contractors (UPICs). ...more

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