Audit MICs conduct post-payment audits, including a combination field and desk MIC audits, fee-for-service, cost report and managed care audits, and identify overpayments. Review MICs analyze Medicaid claims data to identify high-risk areas and potential vulnerabilities, provide leads to the Audit MICs, and use data-driven approach to ensure focus on providers with truly aberrant billing practices. ![]() ![]() ![]() Includes three types of MICs - audit, review, and education - to ensure that paid claims were for services provided and properly documented, for services billed properly, using correct and appropriate procedure codes, for covered services, and paid according to Federal and State laws, regulations, and policies.
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