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    Education-awareness letters to the Medicaid provider community

    • File:ADM_CPM_Patel_Education_Awareness_Letters_2022-03-01.pdf
      Description:PDF file
      MIME type:application/pdf
      File Size:771.4Kb
    Author
    Patel, Janki
    South Carolina Certified Public Manager Program
    Subject
    Medicaid--South Carolina; South Carolina Department of Health and Human Services
    SCDHHS currently does not have a process in place for making providers aware of their billing anomalies without conducting a review/audit of them. SCDHHS needs an effective process for sending education letters to members of the South Carolina Medicaid Provider community with atypical billing patterns and for tracking the impact of the letters on the providers’ future billing behavior. The goal is to have data mining carry the weight of this project by utilizing minimal resources and time. implementing this proposed process of sending education letters to address the providers’ billing behavior, will allow the Division of Program Integrity to monitor the behavior without conducting a comprehensive review and investigation. This, in turn, will benefit the department as it will be counted as a cost avoidance measure using minimal manpower and resources, which will result in better outcomes and save on provider reimbursements.
    URI
    https://dc.statelibrary.sc.gov/handle/10827/47571
    Collections
    • Certified Public Manager Projects
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    Date
    2022-03-01
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    Date Accessioned2023-01-24T15:09:36Z
    Date Available2023-01-24T15:09:36Z
    Item Formatapplication/pdf
    Media TypeDocument
    RightsCopyright status determined to be in the public domain on April 27, 2020 by United States Supreme Court ruling (Georgia et al., Petitioners v. Public.Resource.Org, Inc. : 590 U.S.__(2020))
    TypeText
    Digitization SpecificationsThis South Carolina State Document was either saved from a document available publicly online in PDF format or converted to PDF using Adobe Acrobat DC.
    

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