53-6-1406. Publication of audit results.
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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.