PERM • Updates & Documents

Effective 9/15/12, the 2011 PERM review officially ended for the Alaska Medicaid and Denali KidCare programs. This signifies the official submission deadline for medical record documentation for all sampled claims submitted to the CMS federal medical review contractor, A+ Government Solutions.

The Department thanks all providers that participated in the 2011 PERM review for the prompt submission of medical record documentation to A+ Government Solutions. We had a very high percentage of completed medical records requests. Great job!

The PERM program reminds us all of the importance of proper medical record documentation. The Department encourages all providers to continue to stay current with and adhere to proper documentation and billing requirements.

Our 2011 PERM error rate will have a direct impact on the number of medical record requests during the next PERM review which is scheduled to begin in 2014.

PERM 2011 Official Results

Alaska providers did an outstanding job responding to PERM medical records requests during the most recent review period.

Of the 17 states reviewed during federal fiscal year 2011 (October 1, 2010 – September 30, 2011), Alaska’s Medicaid PERM error rate is the 2nd lowest and the CHIP error rate is the 5th lowest.

Medicaid Error Rate:
Alaska = 1.4% (national error rate = 5.8%)

  • Claims = 1.4%
  • Eligibility = 0.0%

CHIP (Denali KidCare) Error Rate:
Alaska = 5.1% (national error rate = 8.2%)

  • Claims = 0.6%
  • Eligibility = 4.5%

Each Cycle 3 state, including Alaska, will submit a Corrective Action Plan during February 2013 to address improvements in performance.

Alaska’s next PERM cycle will occur during federal fiscal year 2014 (October 1, 2013 – June 30, 2014).

Announcements/Updates

Date Title
09/15/2012 2011 PERM Cycle Officially Ends
10/13/2011 2011 PERM Medical Records Review HAS BEGUN!
10/12/2011 CMS PERM Provider Education Calls:
10/12/2011 CMS PERM Provider Education Call 11:00am (AK Time) Wednesday October 19, 2011
10/12/2011 CMS PERM Provider Education Call 11:00am (AK Time) Wednesday October 26, 2011
10/12/2011 CMS PERM Provider Education Call 11:00am (AK Time) Wednesday November 2, 2011
10/05/2011 2011 PERM Medical Records Review begins soon!
10/05/2011 CMS Assists Providers Through New PERM Provider Resource Page

Links

Be sure to visit these helpful sites on a regular basis to obtain the latest PERM information, as updates are made frequently!

Date Title
03/16/2012 CMS PERM Video: Responding to Medical Records/Documentation Requests
10/05/2011 CMS PERM Provider Resource Page
10/05/2011 ACS/Alaska Medicaid PERM Introduction
10/05/2011 State of Alaska PERM Page
10/05/2011 State of Alaska PERM Contacts

Documents

Date Title
05/05/2011 PERM Definitions
04/27/2011 Claim Categories Document Request Matrix
04/27/2011 Commonly Used Abbreviations

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