53-6-1406: Publication of audit results.

At least once a year the department shall publish and make accessible on its website the following information regarding all medicaid overpayment audits:

(1) the number and type of issues reviewed;

(2) the number of medical and other records requested from providers;

(3) the number of audits conducted by provider type;

(4) the number and aggregate dollar amounts of:

(a) overpayments identified;

(b) overpayments collected; and

(c) underpayments identified;

(5) the duration of audits from initiation to completion;

(6) the number of overpayment determinations and the reversal rates of those determinations at each stage of the informal and formal appeal process;

(7) the number of informal and formal appeals filed by providers, categorized by disposition status; and

(8) the auditor's compensation structure and total dollar amount of compensation for underpayments and overpayments.