LegalFix
Sign In

§ 25.5-4-300.7. Prevention of coding errors - prepayment review of claims

CO Rev Stat § 25.5-4-300.7 (2018) (N/A)
Copy with citation
Copy as parenthetical citation

(1) The state department shall implement and maintain a system for reducing medical services coding errors in medicaid claims submitted to the state department for reimbursement. The system shall include automatic, prepayment review of medicaid claims through the use of nationally recognized correct coding methods in the medicaid management information system, in accordance with 42 U.S.C. sec. 1396b (r) and regulations thereunder, as amended by Pub.L. 111-148, and any other subsequent acts of congress. The state department shall acquire and maintain any information technology necessary to implement the automated, prepayment review of medicaid claims.

(2) Repealed.

Previous Section
§ 25.5-4-300.4. Last resort for payment - legislative intent
Next Section
§ 25.5-4-300.9. Explanation of benefits - medicaid recipients - legislative declaration