Category Archives: by Brian Fisher

Calculating the incalculable

We often hear from state program integrity units that the work they do goes unrecognized. Yet when quizzed on how they promote their efforts — which could result in millions of dollars in savings and recoveries over just one year — they often reveal a limited understanding of how to calculate these savings. After all, […]
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Maintaining your provider network: Tips for keeping docs despite an audit

As a Medicaid agency, you’re tasked with maintaining a provider network of sufficient size, quality, geographic range and breadth of services to meet the needs of your state’s most vulnerable population. But maintaining positive, productive provider relations during a recovery audit can be challenging. One thing you can do is build up a store of […]
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