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IPRO Awarded First-Ever Medicaid Integrity Contract
Date:1/24/2008

New York Quality Improvement Group One of Five Organizations to Receive

Inaugural National Contract to 'Root Out' Medicaid Fraud

LAKE SUCCESS, N.Y., Jan. 24 /PRNewswire-USNewswire/ -- IPRO, a New York-based organization that works to improve and evaluate the quality of the nation's health care, is one of five organizations nationwide to be awarded an inaugural umbrella contract by the federal Centers for Medicare & Medicaid Services (CMS) under the Medicaid Integrity Program. The Medicaid Integrity Contract (MIC) qualifies IPRO to bid on individual Task Orders issued by CMS for a variety of auditing functions designed to identify and report incidents of fraud, waste and abuse in the Medicaid program.

"Being selected as one of the five organizations to participate under this important new initiative is of major importance to IPRO," says Harry M. Feder, M.P.A., Senior Vice President & Chief Operating Officer, IPRO. "We have extensive experience and knowledge of the Medicaid program, which was an important factor in CMS awarding us this contract."

Medicaid, the health insurance program for those who meet certain income criteria, is administered by state governments and funded by both the states and CMS. Until the adoption of the Medicaid Integrity Program, as part of the federal Deficit Reduction Act of 2005, all Medicaid fraud, waste and abuse audits and investigations were handled by state agencies.

IPRO has worked with state governments for more than 20 years to implement Medicaid oversight, and currently conducts more than 120,000 Medicaid utilization and medical necessity reviews each year. IPRO's audit staff have managed hundreds of Medicaid billing and rate audits, and are experts at identifying aberrant activity. In addition, through CMS' Hospital Payment Monitoring Program (formerly known as Payment Error Prevention Program) IPRO has worked with New York Prospective Payment System hospitals for six years to identify
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SOURCE IPRO
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