How does PERM work?
State of Alaska | PERM Frequently Asked QuestionsCMS will randomly select a number of claims to review. They will then contact the providers that submitted those claims, and ask for medical documents that support the claims.
What is PERM?
State of Alaska | PERM Frequently Asked QuestionsPERM is a national effort by Centers for Medicare and Medicaid Services (CMS) to measure the accuracy of payments made through Medicaid and State Children's Health Insurance Program. In Alaska, Denali KidCare is the name of the children's health insurance program.
Why is PERM happening?
State of Alaska | PERM Frequently Asked QuestionsThe federal government wants to minimize fraud and waste. Under the Improper Payment Information Act of 2002 (IPIA), federal agencies must review programs at risk of major payment mistakes each year, and estimate the amount of improper payments. The Centers for Medicare & Medicaid Services started PERM to measure improper payments in the Medicaid program and the State Children's Health Insurance Program.
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How will PERM impact Medicaid providers?
State of Alaska | PERM Frequently Asked QuestionsSome providers will be asked to provide records for a claim to show that they accurately billed Medicaid. How quickly and thoroughly the providers respond will have a major impact on the state's score. Providers are encouraged to turn in materials right away, so if they are asked for additional materials, they still have time to submit them within the 60-day deadline.
How many claims will be reviewed as part of the PERM project?
State of Alaska | PERM Frequently Asked QuestionsApproximately 1,200 Medicaid claims will be subject to this federal audit, from payment dates from October 2007 through September 2008. Approximately 300 claims will be reviewed each quarter.
How does it work?
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