CMS Expands Requirements for PERM, CHIP
The Centers for Medicare & Medicaid Services on Tuesday issued final regulations that will implement improvements to the Payment Error Rate Measurement (PERM) for Medicaid and the Children's Health Insurance Program (CHIP).
PERM is designed to detect and measure improper payments made in Medicaid and CHIP and then establish a national-level error rates for each program. The reviews are conducted to determine whether sample cases meet applicable Medicaid and CHIP fee-for-service, managed care, and eligibility requirements. PERM is usually conducted in 17 states annually, so every state typically participates in the program once every three years.
"Like other large federal programs, Medicare, Medicaid, and CHIP are susceptible to errors or improper payments," says CMS Administrator Don Berwick, MD. "Reducing payment errors in federal programs is a key goal of the entire Obama Administration and the rules we are issuing....allow us to implement strategies for reducing the rate of errors in Medicaid and CHIP more effectively."
- As Medicare Advantage Cuts Loom, Disagreement Over Program's Stability
- 3 Management Lessons from a Supermarket Debacle
- Medicare Advantage Carriers See 'No Choice' But to Accept Cuts
- Physicians to Appeal 'Docs v. Glocks' Ruling in FL
- CA Fines 8 Hospitals for Medical Errors
- Centralizing the Revenue Cycle Protects the Bottom Line
- Revenue Cycles Get a Boost from Simple JPEG Files
- IOM Identifies GME Problems, Calls for Finance Changes
- Employers Weigh Risks, Benefits of Private Exchanges
- Doctors Feel Pressure to Accept Risk-based Reimbursement