§ 53-6-1406

53-6-1406. Publication of audit results. 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.