{"id":17693,"date":"2015-05-29T09:21:42","date_gmt":"2015-05-29T15:21:42","guid":{"rendered":"http:\/\/update.legislature.ne.gov\/?p=17693"},"modified":"2015-05-29T09:21:42","modified_gmt":"2015-05-29T15:21:42","slug":"guidelines-for-medicaid-recovery-audits-approved","status":"publish","type":"post","link":"https:\/\/update.legislature.ne.gov\/?p=17693","title":{"rendered":"Guidelines for Medicaid recovery audits approved"},"content":{"rendered":"<p>Senators passed a bill May 29 that sets guidelines for Medicaid recovery audits in Nebraska.<\/p>\n<p>LB315, sponsored by Omaha Sen. Sara Howard, establishes new guidelines for Recovery Audit Contractors to follow while conducting audits as required by the Affordable Care Act.<\/p>\n<p>Among other provisions, the bill:<br \/>\n\u2022\tclarifies that only one audit may be conducted at a time;<br \/>\n\u2022\texcludes from review claims otherwise audited;<br \/>\n\u2022\trequires claim review within two years of the date of payment;<br \/>\n\u2022\taligns the appeals process with DHHS practice;<br \/>\n\u2022\trequires procedures for resubmitting corrected claims; and<br \/>\n\u2022\trequires audit completion within 60 days of receipt of all requested material.<\/p>\n<p>LB315 passed on a 44-0 vote.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Senators passed a bill May 29 that sets guidelines for Medicaid recovery audits in Nebraska. LB315, sponsored by Omaha Sen.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"colormag_page_container_layout":"default_layout","colormag_page_sidebar_layout":"default_layout","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[12],"tags":[85],"class_list":["post-17693","post","type-post","status-publish","format-standard","hentry","category-health-and-human-services","tag-sen-sara-howard"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=\/wp\/v2\/posts\/17693","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=17693"}],"version-history":[{"count":1,"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=\/wp\/v2\/posts\/17693\/revisions"}],"predecessor-version":[{"id":17694,"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=\/wp\/v2\/posts\/17693\/revisions\/17694"}],"wp:attachment":[{"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17693"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17693"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/update.legislature.ne.gov\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17693"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}