Montana Code 53-6-1407. Audit education and training
53-6-1407. Audit education and training. In order to carry out the requirements of 53-6-160(6) and to reduce claims errors, the department shall provide:
Terms Used In Montana Code 53-6-1407
- Department: means the department of public health and human services provided for in 2-15-2201. See Montana Code 53-6-1401
- Provider: means an individual, company, partnership, corporation, institution, facility, or other entity or business association that has enrolled or applied to enroll as a provider of services or items under the medical assistance program established under this chapter. See Montana Code 53-6-1401
(1)educational and training programs for providers at least twice a year to discuss a summary of audit results, common issues and problems, mistakes identified through audits, and opportunities for improvement in provider performance related to claims billings and documentation; and
(2)information on the department’s website regarding recurring audit issues, including at a minimum a description of each recurring audit issue, the types of providers affected, the review period in which the audit issues occurred, and any applicable department policy or rule related to the issue.