AHCA AND CLAIMS RECOVERY IN FLORIDA
Hernan Luna
Description
Collection
Title:
AHCA AND CLAIMS RECOVERY IN FLORIDA
Creator:
Hernan Luna
Date:
1/9/2013
Text:
Dear List Members:
Most of you who are Medicaid Providers for Florida may have seen in your current Remittance Advice documents claims which have been marked for recovery for a variety of reasons. Possibly, as was the case for us, funds have started being recovered from your current claim payments for these funds. There are a variety of Reason Codes given, but this is in response to an audit that was done by HP Enterprise Services, the fiscal agent for Florida Medicaid. I have called and discussed the matter with them, letting them know that no prior notification of the audit was provided, nor was there any time-frame for justification of overpayments or an opportunity to confirm the audit results.
I am asking Florida Medicaid providers in a similar situation to contact HP Enterprise Services at 1-800-289-7799 Opition 7. I have requested a copy of the letter (which we never received) and have filed a complaint with the department requesting further information.
Please call and voice your concerns to the agency so that they know where we stand on this issue. Recovery without prior notification is not proper procedure!
Regards
Hernan Luna, CPO, LPO
Allied Orthopedics, Inc.
Miami Lakes, FL
Hernan Luna, CPO, LPO
Allied Orthopedics, Inc.
5753 Miami Lakes Drive East
Miami Lakes, FL 33014
(305) 828-3090 Phone
(305) 828-5090 Fax
Most of you who are Medicaid Providers for Florida may have seen in your current Remittance Advice documents claims which have been marked for recovery for a variety of reasons. Possibly, as was the case for us, funds have started being recovered from your current claim payments for these funds. There are a variety of Reason Codes given, but this is in response to an audit that was done by HP Enterprise Services, the fiscal agent for Florida Medicaid. I have called and discussed the matter with them, letting them know that no prior notification of the audit was provided, nor was there any time-frame for justification of overpayments or an opportunity to confirm the audit results.
I am asking Florida Medicaid providers in a similar situation to contact HP Enterprise Services at 1-800-289-7799 Opition 7. I have requested a copy of the letter (which we never received) and have filed a complaint with the department requesting further information.
Please call and voice your concerns to the agency so that they know where we stand on this issue. Recovery without prior notification is not proper procedure!
Regards
Hernan Luna, CPO, LPO
Allied Orthopedics, Inc.
Miami Lakes, FL
Hernan Luna, CPO, LPO
Allied Orthopedics, Inc.
5753 Miami Lakes Drive East
Miami Lakes, FL 33014
(305) 828-3090 Phone
(305) 828-5090 Fax
Citation
Hernan Luna, “AHCA AND CLAIMS RECOVERY IN FLORIDA,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 4, 2024, https://library.drfop.org/items/show/234434.
