Montana § 53-6-1406 Publication Of Audit Results

Montana Statutes

§ 53-6-1406 — Publication Of Audit Results

Montana § 53-6-1406

Title 53SOCIAL SERVICES AND INSTITUTIONS

Ch. 6HEALTH CARE SERVICES

Part 14Medicaid Overpayment Audits

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Bluebook

Mont. Code Ann. § 53-6-1406 (2026).

Text

53-6-1406 . Publication of audit results. At least once a year the department shall publish and make accessible on its website the following information regarding all medicaid overpayment audits:

(1)the number and type of issues reviewed;

(2)the number of medical and other records requested from providers;

(3)the number of audits conducted by provider type;

(4)the number and aggregate dollar amounts of:

(a)overpayments identified;

(b)overpayments collected; and

(c)underpayments identified;

(5)the duration of audits from initiation to completion;

(6)the number of overpayment determinations and the reversal rates of those determinations at each stage of the informal and formal appeal process;

(7)the number of informal and formal appeals filed by providers, categorized by dispositio

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53-6-1406 . Publication of audit results. At least once a year the department shall publish and make accessible on its website the following information regarding all medicaid overpayment audits:
(1) the number and type of issues reviewed;
(2) the number of medical and other records requested from providers;
(3) the number of audits conducted by provider type;
(4) the number and aggregate dollar amounts of:
(a) overpayments identified;
(b) overpayments collected; and
(c) underpayments identified;
(5) the duration of audits from initiation to completion;
(6) the number of overpayment determinations and the reversal rates of those determinations at each stage of the informal and formal appeal process;
(7) the number of informal and formal appeals filed by providers, categorized by disposition status; and
(8) the auditor's compensation structure and total dollar amount of compensation for underpayments and overpayments.