October 2021

MEDICAID NEWS NOVEMBER 2021 SYRTIS SOLUTIONS

29 Oct MEDICAID NEWS RECAP – OCTOBER 2021

Syrtis Solutions distributes a monthly Medicaid news summary to help you stay up-to-date. The monthly roundup focuses on developments, research, and legislation that relates to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below is a summary of last...

Read More
PERM 2021 MEDICAID IMPROPER PAYMENTS CONCERNS SYRTIS SOLUTIONS

28 Oct MEDICAID IMPROPER PAYMENTS CAUSE CONCERN

Under the Payment Integrity Information Act of 2019, the Centers for Medicare & Medicaid Services (CMS) was required to review federal programs at risk of improper payments. The bill tasked CMS to assess what programs are at risk, estimate the number of improper payments, and report...

Read More
COB MEDICAID TPL OHI SYRTIS SOLUTIONS

27 Oct IDENTIFYING TPL IN THE MEDICAID PROGRAM

The vast majority of Medicaid improper payments occur due to antiquated data systems that result in eligibility errors. As the program has grown, identifying primary commercial coverage, also known as Third Party Liability (TPL), has become increasingly more complex and challenging. By law, Medicaid plans...

Read More