The Patient Protection and Affordable Care Act (PPACA) mandates that state Medicaid programs "effective for claims filed on or after Oct. 1, 2010, incorporate compatible methodologies of the National ...
July 2012 updates to the Integrated Outpatient Code Editor, the CMS system for filing and adjudicating claims paid under the Outpatient Prospective Payment System, include a change to bring it in line ...
Most states have not complied with the Affordable Care Act's requirement to implement automated claims safeguards known as coding edits, leaving Medicaid susceptible to billions in improper payments, ...
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