Navigation Links
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 and address Medicare coding and billing errors.

Section 6034 of the Deficit Reduction Act of 2005, which was signed into law February 2006, established the Medicaid Integrity Program. The program dramatically increased resources available to CMS to combat fraud, waste and abuse, as well as increasing CMS' responsibility to devise a national strategy to do so. Congress appropriated $5 million in Fiscal Year (FY) 2006; $50 million each year in FY 2007 and 2008; and $75 million for 2009 and each subsequent year.

With more than 20 years of experience in health care quality improvement and evaluation, IPRO holds major contracts with state and federal governments to review the cost and quality of services provided to Medicaid recipients, Medicare beneficiaries, and patients enrolled in managed care organizations and to work with the health care community to improve those services.

Contact:

Spencer Vibbert

516/326-7767

Dennis Tartaglia

212/481-7000


'/>"/>
SOURCE IPRO
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. UVa researcher awarded $3.6 million grant to fight drug-resistant bacteria
2. Southwest Ambulance Awarded Exclusive, 3-Year Contract Extension in Peoria, Arizona
3. CAS Medical Systems, Inc. Awarded $2.8 Million Grant by National Institutes of Health
4. PartsSource Awarded US Patent for PartsFinder(TM) Application
5. Wrigleys Orbit(R), Extra(R) and Eclipse(R) Sugar-Free Chewing Gums Awarded American Dental Associations Seal of Acceptance
6. Insulet Awarded National Accreditation for Excellence by Community Health Accreditation Program
7. Paragon Technologies SI Systems Brand Awarded A $1.0 Million System Expansion Contract for an Automated Light-Picking System
8. UMASS Medical School awarded National Childrens Study contract
9. beBetter Awarded WV Quitline Contract
10. Henricksen Awarded 2007 Distinguished Veterinary Staff Award
11. Lacey Veterinarian Awarded 2007 WSVMA Recent Graduate Award
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... ... a crisis. Her son James, eight, was out of control. Prone to extreme mood shifts ... upset him, he couldn’t control his emotions,” remembers Marcy. “If there was a knife ... and say he was going to kill them. If we were driving on the ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda Cheng, ... treatment. Dr. Cheng has extensive experience with all areas of orthodontics, including robotic ... osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. It ...
(Date:6/24/2016)... ... 2016 , ... People across the U.S. are sharpening their pencils and honing ... contest in which patients and their families pay tribute to a genetic counselor by ... Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , In ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... Investment Group (TGIG), has initiated cultivation and processing operations at its production facility, ... Pahrump, Nevada. , Puradigm is the manufacturer of a complete system of proactive ...
(Date:6/24/2016)... ... 24, 2016 , ... Venture Construction Group (VCG) sponsors Luke’s Wings ... 20th at the Woodmont Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. ... service members that have been wounded in battle and their families. Venture Construction Group ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 ... CAPR ), a biotechnology company focused on the ... announced that patient enrollment in its ongoing randomized ... has exceeded 50% of its 24-patient target. Capricor ... the third quarter of 2016, and to report ...
(Date:6/23/2016)... -- Astellas today announced the establishment of Astellas Farma Colombia (AFC), a new affiliate with operations headquartered in ... . ... ... ... Astellas is ...
(Date:6/23/2016)... 2016  Experian Health, the healthcare industry ... patient payment and care experience, today announced ... and services that will enhance the breadth ... These award-winning solutions will enable healthcare professionals ... in an ever-changing environment and redefine front-office ...
Breaking Medicine Technology: