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:5/4/2016)... ... 2016 , ... A new collaboration will give more researchers access to the ... and analytics leader SAS will provide researchers worldwide with data management and analytics tools ... System. , The DCRI and SAS share the goal of greater transparency and ...
(Date:5/4/2016)... ... May 04, 2016 , ... Washington Wellness Center today ... central New Jersey residents. What started out as an idea to provide a ... integrated approach to healthcare. , Developed by Dr. David Swanekamp, Chiropractic Physician , ...
(Date:5/4/2016)... ... ... Dr. Elyson and Dr. Assili, dentist in Northridge , announce that ... a common dental procedure, is performed for many adolescents and young adults today. While ... of complications. By providing wisdom tooth removal surgery at their office, Dr. Elyson and ...
(Date:5/4/2016)... ... May 04, 2016 , ... Recognizing that lifestyle medicine is essential to health ... have tapped David Katz, MD, MPH, president of the American College of Lifestyle Medicine, ... medicine is especially gratifying,” said Katz. “There is so much opportunity to add years ...
(Date:5/4/2016)... ... May 04, 2016 , ... Pharmacy ... announced that it was chosen as the Pharmaceutical News Provider of the Year ... awards acknowledge the hard work and dedication of community members who strive to ...
Breaking Medicine News(10 mins):
(Date:5/4/2016)... 2016 Research and ... Acute Ischemic Stroke Market and Competitive Landscape ...      (Logo: http://photos.prnewswire.com/prnh/20160330/349511LOGO ... Stroke Market and Competitive Landscape Highlights 2016, ... pipeline products, Acute Ischemic Stroke epidemiology, Acute ...
(Date:5/3/2016)... , May 3, 2016 BioNovus Innovations ... Institute for Advancing Medical Innovation (IAMI) today announced ... drugs, diagnostics and medical devices. An ... with rights to license, develop and commercialize medical ... "This partnership represents a significant advance ...
(Date:5/3/2016)... 3, 2016   BIOTRONIK , a leader ... Food and Drug Administration (FDA) approval of Iperia ... heart failure patients with access to diagnostic magnetic ... remote monitoring with daily automatic transmission and closed ... in response to physiological demands. ...
Breaking Medicine Technology: